July-August 2005

S A E M

Newsletter of the Society for Academic Emergency Medicine July/August 2005 Volume XVII, Number 4

PRESIDENT’S MESSAGE Looking Back to Look Forward At times of transition, the Romans invoked their god of gates and doors, Janus. Typically drawn with two faces, Janus contemplated the happenings of an old year while looking forward to the new.

Reflecting on our successful Annual Meeting in New York City Glenn C. Hamilton, MD with nearly 2,200 attendees, it is important as we move forward to acknowledge the significant efforts and accomplishments over the last year. Seven SAEM staff, 11 Board members and nearly 250 individuals on 20 different Task Forces and Committees contributed greatly to the progress of this Society in 2004-2005. The 27 Interest Groups also helped move this academic enterprise toward its mission of advancing patient care through education and research.

At the Business Meeting, a listing of these activities and advances developed by Carey Chisholm and the staff was circulated to those in attendance. This list is worthy of sharing with the entire membership for your information and hopefully sense of accomplishment. The activities are many and the hours behind them number in the thousands, but the energy and enthusiasm supporting the mission and goals of this Society remain vital as we enter into another year of promise.

May 2004 – May 2005 Actions Operations/Member Services ● Reaffirmed SAEM’s mission and vision statements. ● Developed 5-year plan for the organization.

This will assist with resource allocation and the development of annual committee and task force goals. ● Reviewed all policy and position statements. Assigned automatic review dates to those that were without change or revised, and identified several that will require further work. Those have been assigned through the committee and task force objectives. ● Developed the organization’s first membership survey.

This information will assist future BODs in decision-making and prioritization to better serve our members. ● Hired our first ever on-site web programmer, beginning January 2005 ● Hired one additional FTE administrative staff for the national office ● Transitioned to the Electronic Editorial System (EES) for AEM manuscripts.

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901 N. Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 saem@saem.org www.saem.org

Development of Web-based Question Bank for EM Students Emily L. Senecal, MD Stanford University Michael S. Beeson, MD, MBA Akron City Hospital Stephen H. Thomas, MD, MPH Massachusetts General Hospital Medical Student Question and Answer Bank SAEM Undergraduate Committee The majority of required clinical rotations for medical students employ a standardized “shelf” exam to evaluate medical student performance at the conclusion of a rotation. The discipline of EM lacks such a standardized evaluation tool.

The reasons for this are numerous and include the fact that standardizing core content for a medical student EM rotation is a challenging task. One of SAEM’s goals over the last few years has been to develop a testing and/or evaluation tool for medical students rotating through EM. After several years of hard work by many members of the SAEM Undergraduate Education Committee (UEC), we are pleased to announce the arrival of an interactive web-based testing tool for students of EM. Over the past four years, the UEC has put forth efforts to develop a question bank available through the SAEM website to all EM clerkship directors to facilitate the teaching and evaluation of medical students during their rotation in EM. The project began with the goal of generating 500 multiple choice questions covering a broad range of topics within EM. Individual emergency physicians from teaching hospitals undertook the writing of the questions. All questions underwent a minimum of two revisions by writers other than the original author.

These initial efforts were successful in generating over 500 multiple-choice questions, approximately one-quarter of which are accompanied by images, including EKGs, radiographic studies, and photographs. Answers include brief explanations of the correct answer, as well as text or literature references for further reading.

Once the questions were developed and edited, efforts were directed at turning this large document into an interactive web-based testing tool. Through the financial support of the Board of Directors, the UEC was able to purchase software designed specifically to administer tests. Using the software, known as LXR Test 6.0, the questions were transformed from a word-processing document into an interactive on-line question bank in the format of individual tests covering a broad range of topics.

The tests are available through the SAEM website at www.saemtests.com. Two of the 26 tests are available without a password. The remainder of the tests are passwordprotected and are only accessible by medical students once

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“to improve patient care by advancing research and education in emergency medicine”

Call for Nominations SAEM Web Editor / Web Editorial Board During the Board of Directors Meeting at the Annual Meeting in New York City, the positions of Web Editor and Web Editorial Board were approved. The Board of Directors is hereby making a call to the general membership for nominations.

The Web Editor and Web Editorial Board will report to the Board of Directors and be supported by a staff Web Site Director. Their purpose is to provide editorial direction for the content of the web site. Specific assignments include recommending new areas to be planned or developed for the web site and reviewing materials submitted to SAEM for web publication. Criteria for publication will include content, accuracy, timeliness, and service to the SAEM membership.

Regularly scheduled progrees reports to the Board of Directors will be part of the group's responsibilities.

The Web Editor will be selected based on their knowledge of the Society, ability to represent the membership, editorial vision, and clear willingness to work with the Board of Directors.

The Web Editorial Board will work with and support the

activities of the Web Editor. The Board will be comprised of 2-3 members of SAEM selected for their broad expertise about the Society and basic technical knowledge of webbased services. Their role will be to review the complete web site on an annual basis and make recommendations for changes to the Web Editor and the Board of Directors. They will also review submitted materials, and requests for links both to and from the SAEM web site.

The Board of Directors is excited about these new positions and their potential benefits for the membership. We look forward to reviewing your applications. A staff Web Director has been hired at the Central Office since January, 2005.

Questions about the positions may be addressed to the SAEM office at saem@saem.org or 517-485-5484.

Please submit a letter of interest describing your web experience and your curriculum vitae to Mary Ann Schropp, Executive Director at: Society for Academic Emergency Medicine 901 N. Washington Ave. Lansing, MI. 48906 saem@saem.org

Web-based Question Bank…(continued from page 1) they have been registered by their Clerkship Director on the website.

Clerkship Directors can obtain login IDs and passwords to access the Question Bank at www.saemtests.com. After a student takes a test, the student’s scores and individual answers are automatically reported to the Clerkship Directors by email.

The Question Bank has recently been made available to Clerkship Directors and medical students across the country. At this point, over 100 student tests have been taken. Initial data collection is underway to begin the process of test question validation. Data will also be collected in an anonymous fashion to assess the difficulty of individual questions and to compare third-year versus fourth-year medical student performance on individual questions. This will allow for the development of tests of

varying difficulty and increased validity in the future.

The Question Bank was presented at the 2005 SAEM Annual Meeting in New York as an Innovation in Emergency Medicine Education (IEME) Exhibit. In addition, thanks to funding from SAEM, the Question Bank has been submitted for consideration of presentation at the AAMC Annual Meeting in Washington in early November. If accepted, it will be presented as an Innovation in Medical Education (IME) Exhibit.

Ideas in development include the addition of several brief check-box responses for students to enter prior to taking the exam. Their responses would categorize them by year, number of EM rotations done, which core rotations they’ve completed, and whether they’ve taken the SAEM tests previously.

Additional brief check-box responses

following the test would indicate the students’ assessment of the test as a teaching tool and its utility in their learning of EM. Surveying of clerkship directors will provide useful information as to the utility of the web-based testing site and its potential as a tool for the evaluation of medical students.

A long-term goal is the addition of a check-box denoting the students’ willingness to be tracked longitudinally in a confidential manner to determine whether their SAEM test scores correlate with their performance on In-Training American Board of Emergency Medicine scores in their first year of EM residency training. Although not yet the equivalent of a standardized “shelf” exam, we believe this teaching tool is a crucial first step in the development of a standardized evaluation tool for students of Emergency Medicine.

Richard Knapp, MD, (left) Executive VicePresident of the AAMC, was a special guest at the SAEM Annual Meeting and is shown reviewing the Medical Student Question Bank with (l-r) Kate Heilpern, MD, Mike Beeson, MD, Stephen Thomas, MD, and Emily Senecal, MD.

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Thank You for the 2005 Annual Meeting Judd E. Hollander, MD University of Pennsylvania Chair, 2005 Annual Meeting Program Committee I would like to thank all of you who contributed to the science, educational exhibits, didactic conferences, photography contest and attendance at the 2005 Annual Meeting. There were a outstanding number of high quality didactic and scientific sessions. The networking and opportunities to renew relationships with national and international colleagues were unsurpassed.

This was our first meeting ever in New York City and we broke all our attendance records by 15%. For the first time, we exceeded 2000 attendees – with a final count of 2173 (compared to 1843 last year). The clinical and basic science presentations were outstanding and reflected the wide depth of our specialty. Despite the meeting being in New York, attendance at the Annual Meeting remained quite good, even through the last days events, reflecting the interesting topics being presented. The didactic sessions had an average attendance of nearly 100 people per session. Some day 3 and 4 scientific sessions had more than 250 attendees.

Special congratulations to our award winning papers and presenters: Senior Investigator Award Ian Stiell, MD, MSc Lisa Nesbitt, William Pickett, David Brisson, Jane Banek, Brian Field, Daniel Spaite, Douglas Munkley, Lorie Luinstra-Toohey, Marion Lyver, Tony Campeau, George Wells, for the OPALS Study Group: OPALS Major Trauma Study: Impact of Advanced Life Support on Survival and Morbidity.

Young Investigator Clinical Award Craig Newgard, MD Validation of Probabilistic Linkage for Matching De-identified Prehospital Records to a State Trauma Registry.

Young Investigator Basic Award Chad Darling, MD Rong Jiang, Michelle Maynard, Jake Vinten-Johnasen, Peter Whittaker, Karin Przyklenk: Cellular Mechanisms of Cardioprotection with "Postconditioning": Role of ERK 1/2 Signaling and Mitochondrial KATP Channels.

Fellow Clinical Award Dana Edelson, MD

Merchant M Raina, Helge Myklebust, Anne M Barry, Jason Alvrado, Nicholas O'Hearn, Terry L Vanden Hoek, Lance B Becker, Benjamin S Abella: Quality of Defibrillation: Inconsistent Rhythm Identification and Long Preshock Pauses during Cardiac Arrest.

Fellow Basic Award Steven Salhanick, MD Stavros Pavlides, Douglas E Holt, Daniel Orlow, Wende R Reenstra, Jon A Buras: Both Endothelial and Inducible Nitric Oxide Synthase-derived Nitric Oxides Contribute to Acetaminophen Toxicity.

Resident Award Blake Weaver, MD Michael Blaivas, Matthew Lyon: Confirmation of Endotracheal Tube Placement after Intubation Using the Sliding Lung.

Medical Student Clinical Award Ashish Panchal Alan Blumberg, Jim Schneider, Carlos A Torres, Sverre Aune, Mark G Angelos: Cardiac Ultrasound to Monitor Post-Cardiac Arrest Myocardial Dysfunction.

Medical Student Basic Award Amy Betz James Menegazzi, Clifton W Callaway, Henry E Wang: A Randomized Comparison of Manual, Mechanical, and Highimpulse Chest Ventricular Fibrillation.

Innovations in Emergency Medicine Exhibit Richard Levitan, MD A Novel Methodology for Teaching Direct Laryngoscopy The Program Committee planning for the 2006 Annual Meeting is already well underway. First stop is selection of didactic proposals. The didactic proposal submission form will be posted on the web at www.saem.org by July 1, 2005.

Deb Houry, MD will be taking over as the Program Committee Chair. She and the remainder of the Program Committee are interested in seeing new proposals and suggestions for the 2006 Annual Meeting.

Again, thanks for contributing to a great meeting. See you in San Francisco on May 18-21, 2006.

Visual Diagnosis Contest Winners Announced During the 2005 Annual Meeting in New York a Visual Diagnosis Contest was open to all residents and medical students in attendance. The following winners are to be congratulated on their excellent diagnostic skills: Medical Student Winner: John Randolph, Kirksville College of Osteopathic Medicine Resident Winner: Christopher Kahn, MD, University of California, Irvine

The recipients will be awarded a one-year membership in SAEM, including a subscription to Academic Emergency Medicine, a free registration to the 2006 Annual Meeting, a major Emergency Medicine textbook, a subscription to the SAEM Newsletter, and an SAEM coffee mug.

The Program Committee is already making plans for next year's contest and members are encouraged to submit potential cases and photos. Please refer to the 2006 Call for Photographs that is published in this issue of the Newsletter.

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AACEM and SAEM Sessions to be Held During AAMC Annual Meeting The Association of Academic Chairs of Emergency Medicine (AACEM) and SAEM have scheduled two educational sessions to be held on Saturday, November 5, 2005 during the Association of American Medical Colleges (AAMC) Annual Meeting in Washington, DC at the Marriott Wardman Park Hotel.

The first session, "Implications for Academic Medicine and Academic Emergency Medicine: Findings from the Wye River Group 'Policy Blueprint' for Healthcare" will be held at 8:3010:00 am in the Balcony B Room. The driving forces behind healthcare are shaped by many interests, including consumers, business leaders, healthcare providers, government leadership and public/private payers. Bringing together these diverse viewpoints, highlighting common themes and priorities for health policy would provide a powerful tool for future healthcare direction. During the session, the Wye River Group on Healthcare will draw on the findings of their Community Leaders' Blueprint for American Healthcare and their National Study on Consumer Health Values to assist the academic physician in understanding and focusing their activities around the healthcare priorities of consumers, national leaders and policy makers.

The session will be moderated by David Sklar, MD, Chair of the Department of Emergency Medicine at the University of New Mexico. The speakers are Jon R. Comola, the Chief Executive Officer of the Wye River Group on Healthcare, and Marcia L. Comstock, MD, MPH, the Chief Operating Officer of the Wye River Group.

The second session, "Epidemic of Care: Facing the Future Demand for Healthcare" will be held at 10:15-12:00 noon.

The speakers for this session will be George Isham, MD, MS, Medical Director and Chief Health Officer, HealthPartners, Inc. in Minneapolis, and Brent Asplin, MD, MPH, Vice Chair of the Department of Emergency Medicine at the University of Minnesota. The rising cost of healthcare is threatening the stability of the U.S. healthcare system. One of the most troubling trends is the growing demand for healthcare services, particularly by people with chronic disease. As we approach the retirement of the baby boomer generation, there are critical questions about the system's capacity to meet tomorrow's demands for care. During this session, Dr. George Isham will overview his book, Epidemic of Care, in which he describes the drivers of healthcare costs in America.

Discussion will include specific implications of tomorrow's demands for the emergency care system.

These sessions are open to all registrants of the AAMC Annual Meeting, including AACEM and SAEM members, at no charge. Pre-registration is requested, by sending an e-mail to: saem@saem.org. To register for the AAMC Annual Meeting, go to www.aamc.org An AACEM membership meeting is planned as a lunch session in the Kennedy Room. All AACEM members are welcome to attend. An AACEM Executive Committee meeting will be held following the lunch session.

Call for Abstracts 8th Annual Mid Atlantic SAEM Regional Research Meeting Friday, September 23, 2005 Georgetown University/ Washington Hospital Center Georgetown University Marriott Conference Center Washington, DC The Program Committee is now accepting abstracts for review for oral presentation for this meeting. As in prior years there will be no posters only plenary (12 minute) and brief (4 minute) oral presentations. The meeting will take place on September 23, 2005 at 9:00 am to 4:00 pm (the day before the ACEP Scientific Assembly which is also in DC). There will be a preliminary Critical Care Collaboration Meeting at 7:30 am prior to the meeting as well as a Baseball game: our Washington Nationals vs.

San Francisco Giants at RFK Stadium 4:00 pm, Thursday September 22, followed by a Dinner and Lecture on Sports Medicine Research by the Team Physician. There will be a limited number of tickets available (40) so respond early.

The deadline for abstract submission is Monday, August 8 at 5:00 pm Eastern Daylight Time. Only electronic submission via the SAEM online abstract submission form at www.saem.org will be accepted. The only abstract submission form will be posted by July 1, 2005. Acceptance notifications will be sent in late August. The goal is to allow as many students/residents and junior faculty the opportunity to present their research in an oral format with approximately 5 PowerPoint slides with time for questions by moderators and the audience. More senior investigators are invited to submit abstracts for the plenary presentation. The meeting includes research, teaching and clinical lectures with a focus on grant writing and preparation, collaborative trauma research with surgeons, and alcohol research (NIAAA representatives).

There will also be a 3 hour session from 12:00 noon to 3:00 pm for medical students preparing to enter an EM residency with a focused review of How to, What to do and Not to do; including representatives from most of the local residencies. A lunch at the Hoyas Pub is also included in this session.

There will be a block of discounted hotel rooms on campus at the Georgetown University Marriott Conference Center available after June 15, as well as meeting registration which will feature reasonable costs and departmental discounts for multiple attendees. Please check back to the SAEM website for this information. All preliminary questions can be emailed to: davidmilzman@comcast.net.

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Annual Business Meeting Held on May 23 in New York City The 2005 Annual Meeting in New York attracted 2073 registrants. During the Annual Business Meeting on May 23, Dr. Carey Chisholm announced the results of the annual elections. The election was held by mail ballot and approximately 650 of the active members cast ballots during the election.

The results were:

Hedges, MD, who introduced the 2005 Leadership Award recipient, Bill Barsan, MD. Each of the award recipients addressed the SAEM membership.

Dr. Chisholm introduced the 2005 Young Investigator Award recipients: Alan Jones, MD; Jeff Perry, MD, MSc; Henry Wang, MD. Dr. Yealy also introduced the recipients of the SAEM Grants Program: Michelle Charfen, MD (Research Training Grant), Robert Lowe, MD, MPH (Institutional Research Training Grant), Timothy Mader, MD (Scholarly Sabbatical Grant), Francis Guyette, MD (EMS Research Fellowship Grant). Each of these grant and award recipients were profiled in the May/June issue of the Newsletter.

President-Elect Jim Hoekstra, MD Wake Forest University Board of Directors Jill Baren, MD University of Pennsylvania

Carey Chisholm, MD, introduced the 2004 Annual Meeting Presentation Awards: Amy Plint, MD (Faculty Clinical Science), Selim Suner, MD (Faculty Basic Science), Alan Jones, MD (Young Investigator Clinical Science), Daniel Davis, MD (Young Investigator Basic Science) Rick Gerein, MD (Clinical Science Fellow), Italo Subbarao, MD, MBA (IEME Exhibit), Basmah Safdar, MD (Clinical Science Resident), Brian McBeth, MD (Basic Science Resident), Garig Vanderbeldt (Basic Science Medical Student), and Kyle Shaver (Clinical Science Medical Student).

Catherine Marco, MD Medical College of Ohio Resident Member of the Board Lance Scott, MD East Carolina University Nominating Committee Jim Adams, MD Northwestern University

Michelle Biros, MS, MD, Editor-in-Chief of Academic Emergency Medicine provided a report to the membership on the status of the Journal. Dr. Biros also reported the following changes to the editorial board: Rita Cydulka, MD, MS, Dan DeBehnke, MD, J. Stephen Huff, MD, Brian O'Neil, MD, Terri Schmidt, MD, Adam Singer, MD, and Don Yealy, MD, are leaving the board and Richard Rothman, MD, PhD, David Cline, MD, Scott Wilber, MD, Kelly Young, MD, Henry Wang, MD, David Karras, MD, Gregory Conners, MD, MPH, MBA, Clifton Callaway, MD, PhD, David Wright, MD, Alan Jones, MD, and Nina Gentile, MD, are being added to the board.

Louis Binder, MD Case Western Reserve University Constitution and Bylaws Committee David Cone, MD Yale University Dr. Chisholm announced to the membership that the proposed Constitution and Bylaws amendment had been overwhelmingly approved by the active membership through the mail ballot. The proposed amendment was published in the May/June issue of the Newsletter.

Dr. Chisholm presented his President's Message and introduced incoming President, Glenn Hamilton, MD. Dr. Hamilton presented Dr. Chisholm a plaque and thanked him for his service as the SAEM President.

Dr. Chisholm introduced Art Kellermann, MD, who introduced the 2005 Hal Jayne Academic Excellence Award recipient, Roger Lewis, MD, PhD. Dr. Chisholm introduced Jerris

AACEM Elections Held

Medical Student Interest Group Grants

The Association of Academic Chairs of Emergency Medicine (AACEM) held its Annual Meeting and elections in New York on May 21. During the meeting Gabe Kelen, MD, Chair of the Department of Emergency Medicine at Johns Hopkins University, began his term as AACEM President, succeeding Stephen Hargarten, MD, Chair of the Department of Emergency Medicine at Medical College of Wisconsin. Bill Barsan, MD, Chair of the Department of Emergency Medicine at the University of Michigan was elected President-Elect.

Judith Tintinalli, MD, Chair of the Department of Emergency Medicine at University of North Carolina, Chapel Hill was elected Secretary/Treasurer.

Deadline: September 8, 2005 SAEM recognizes the valuable role of EM Medical Student Interest Groups to the specialty and has established grants of up to $500 each to help support these groups' educational activities. Established or developing clubs, located at medical schools with or without EM residencies are eligible to apply. The deadline for this years grants is September 8, 2005. Applications can be obtained at www.saem.org or from the SAEM office. Information on the grants approved for funding in 2004 can be found in the January/February 2005 issue of the SAEM Newsletter, which is posted on SAEM website at www.saem.org.

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Membership Survey SAEM is conducting our first ever Membership Survey. The Board of Directors is very interested in hearing your voice, and for this reason we are maximizing opportunities for all members to participate. Data from the survey will assist future BOD's in resource allocation and direction. If you did not fill out a survey at the Annual Meeting, or electronically, please consider filling out the one enclosed in this issue of the Newsletter. We thank all who have participated in this important endeavor.

2005 Residency Fair Participants SAEM would like to thank the following 97 EM residency programs that participated in the Residency Fair that was held immediately following the Medical Student Symposium on May 21, the day before the 2005 Annual Meeting. SAEM recognizes the effort and cost expended by these residency programs. The purpose of the Residency Fair is to provide a unique and economical opportunity for medical students interested in a career in emergency medicine. This year's participation greatly exceeded last year, when 70 programs participated. This year's Medical Student Symposium attracted 186 students, also exceeding last year's registration of 104.

Advocate Christ Medical Center Akron General Medical Center Albany Medical Center Albert Einstein/Beth Israel Medical Center Albert Einstein/Jacobi Medical Center/Montefiore Baystate Medical Center Beth Israel Deaconess Medical Center - Harvard Boston Medical Center Brown University Carolinas Medical Center Case Western Reserve/MetroHealth Medical Center Christiana Care Health System Cooper University Hospital Denver Health Medical Center Duke University Emory University Geisinger Medical Center Georgetown University/Washington Hospital Grand Rapids MERC/Michigan State University Hennepin County Medical Center Henry Ford Hospital Indiana University Lincoln Medical and Mental Health Center Loma Linda University Long Island Jewish Medical Center Louisiana State University - Baton Rouge Louisiana State University - Shreveport Madigan/University of Washington Maimonides Medical Center Maine Medical Center Mayo Clinic Medical College of Georgia Medical College of Virginia Medical College of Wisconsin Metropolitan Hospital Michigan State University, Kalamazoo Morristown Memorial Hospital Mount Sinai New York Hospital of Queens New York Medical College New York Methodist Hospital New York Presbyterian Columbia/Cornell New York University/Bellevue Hospital Center Newark Beth Israel Medical Center North Shore University Northwestern University Oregon Health and Science University Orlando Regional Medical Center Palmetto Health Richland Memorial Hospital

Penn State/Hershey Medical Center Regions Hospital Resurrection Medical Center San Antonio Uniformed Services Health Education Consortium St. Luke’s Hospital St. Luke’s-Roosevelt Hospital Stanford University/Kaiser Permanente State University of New York at Buffalo State University of New York Downstate State University of New York Upstate Stony Brook University Summa Health System/Northeastern Ohio Universities Synergy Medical Education Alliance Texas A&M/Scott & White Memorial Hospital Thomas Jefferson University UCLA-Olive View UMDNJ of New Jersey University of Alabama, Birmingham University of Arizona University of California, Davis University of California, Irvine University of California, San Francisco-Fresno University of Chicago University of Cincinnati University of Florida, Jacksonville University of Iowa University of Louisville University of Maryland University of Massachusetts University of Michigan/St. Joseph Mercy Hospital University of Mississippi University of New Mexico University of North Carolina University of Pennsylvania University of Pittsburgh University of Rochester University of Southern California University of South Florida University of Texas at Houston University of Texas, Southwestern University of Utah University of Virginia Wake Forest University/Baptist Medical Center Washington University, St. Louis Wayne State University/Sinai-Grace Hospital Wright State University Yale-New Haven Medical Center York Hospital 6

Call for Abstracts 2005 Midwestern Regional Meeting Monday, September 12, 2005 The Detroit Institute of Arts The 2005 Midwestern Regional SAEM Research Conference will be sponsored by St. John Hospital and Medical Center in Detroit. The Call for Abstracts will take place in July 2005. For questions or further information, contact Dr. Patricia Nouhan: patricia.nouhan@stjohn.org

Call for Abstract Reviewers The Program Committee is currently accepting applications to serve as expert reviewers of scientific abstracts submitted for consideration of presentation at the 2006 Annual Meeting, which will be held May 18-21 in San Francisco. The minimum requirement for new abstract reviewers is at least 2 first author peer-reviewed original research manuscripts in the topic area for which you are applying. Residents are invited to apply but must meet the same criteria. If you have been an abstract reviewer in the past 5 years, you do not need to reapply.

Interested individuals should electronically submit to saem@saem.org the following by October 1, 2005 at noon: abbreviated CV (full CVs will not be considered) with a detailed listing of peer-reviewed original research publications, review articles, textbook chapters, and prior scientific abstract presentations published in the specific area(s) of expertise selected from the list below: abdominal/gastrointestinal/genitourinary administration/health care policy ● airway/analgesia ● cardiopulmonary resuscitation ● cardiovascular (non-CPR) ● clinical decision guidelines ● computer technologies ● diagnostic technologies/radiology ● disease/injury prevention ● education/professional development ● EMS/out-of-hospital ● ethics ● geriatrics

infectious disease ischemia/reperfusion ● neurology ● obstetrics/gynecology ● overcrowding ● pediatrics ● psychiatry/social issues ● research design/methodology/statistics ● respiratory/ENT ● shock/critical care ● toxicology/environmental injury ● trauma ● wounds/burns/orthopedics

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Every year, the Program Committee selects approximately six reviewers for each of the topic areas, including expert reviewers and members of the Program Committee. Therefore, not every approved reviewer will be invited to review each year.

Individuals selected to review submitted abstracts will be expected to review up to 100 abstracts, must adhere to the SAEM abstract scoring system, and must submit their abstract scores by the deadline. The deadline for authors to submit abstracts is January 10, 2006. Abstracts will be sent for review by January 12 and abstract scores will be due by noon on January 23. All scores must be submitted online.

Call for Abstracts 2006 Southeastern Regional SAEM Meeting March 24-25, Grandover Resort, Greensboro NC The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Abstracts can be simultaneously submitted to the Annual SAEM meeting, and the Southeast Regional Meeting. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. Research and didactic sessions will be presented at the meeting. Questions concerning the meeting content can be directed to the Program Chairman, David Cline at dcline@wfubmc.edu.

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Let the Meeting Begin

Judd Hollander, MD, University of Pennsylvania, Program Committee Chair of the 2005 Annual Meeting, confers with Carey Chisholm, MD, at the Plenary Session. Dr. Hollander and the Program Committee planned a meeting with the largest number of abstract submissions (1006), the largest number of IEME Exhibits (86), the largest number of programs participating in the Residency Fair (97), the largest number of photo submissions (116), and the largest number of attendees (2,173).

Presenters of three of the five papers presented during the Plenary Session await the official opening of the Annual Meeting. (L-R) James Quinn, MD, MS, Stanford University, Marlena Wald, MPH, Emory University, and Ian Stiell, MD, MSc, FRCPC, University of Ottawa.

SAEM Research Fund: We're Not Kidding

John Marx, MD, Carolinas Medical Center, presented a “special abstract” during the plenary session, which was moderated by Michelle Biros, MD and Carey Chisholm, MD. (See Dr. Marx’s article)

To make a donation to the SAEM Research Fund * Use the online form at https://www.periwinkle.net/saem/research.htm * Send check payable to SAEM Research Fund to SAEM, 901 North Washington Avenue, Lansing, MI 48906 * Contact SAEM via phone (517-485-5484) or email (saem@saem.org) 100% of all contributions go directly to the Research Fund.

All administrative costs are paid by SAEM. Please support the SAEM Research Fund and the future of EM Research.

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John Marx, MD Carolinas Medical Center SAEM Past President At this year's plenary session, the final abstract presentation beseeched the SAEM membership to contribute enthusiastically to the SAEM Research Fund. It was hypothesized that digging deeply would assuredly help stamp out under-recognized and under-treated diseases. This would, in turn, make everyone’s lot in life so much better.

In the brief, yet exceedingly complex mathematical slides, it was estimated that a $100 contribution from each member would generate approximately half a million dollars per year toward the Fund. Therefore (please stay with me on this), $1,000 per member per year would create a lovely 5 million dollar aggregate gift. The pessimist recognizes that the latter appears to be a moon-shot concept. On the other hand, there are many who would view that as being comparable in value to a single clinical shift over the course of an entire year. Perhaps more importantly, it makes the $100 per person pledge seem almost puny.

In truth, these are monies well spent toward the success of our researchers, the strengthening of our specialty and the betterment of our patients. Whatever you can give will be gratefully received and put to good use.

Yeah, I mean you.

What I Learned on Sabbatical That I Did Not Plan To Learn Robert L. Wears, MD, MS University of Florida I am always ready to learn, although I do not always like being taught.

Sir Winston Churchill envy (“Why not me?”), abandonment (“How could you leave us?”), resentment (“You’re jetting around Europe while we’re here suffering!”), and pity (“He’s gone senile!”); often several of these reactions will occur simultaneously in the same person.

After a point, building future colleagues becomes more important than learning more ‘facts.’ Once you have reached a certain threshold in your desired field of study – say, the level of an advanced PhD student, who knows the basic literature and methods of the field – adding more formal knowledge (although still important), will not be as useful as building personal relationships with people who can serve advisors and collaborators in the future.

The person who comes back from sabbatical will not be the same person who left. If you do return unchanged, your sabbatical has failed to be more than an extended vacation. This implies that your re-entry must be planned as carefully as you planned your sabbatical. As the time of this writing I have not yet returned from sabbatical, but am anticipating this issue will arise (based on the advice and experience of others who have gone before). It would be unreasonable to expect that, after having been away for an extended period of time, you should simply pick up right where you left off. Your department will have gone on quite well without you, and, as noted above, the person coming back is not the one who left. Expecting the reentry to be on autopilot is an exercise in self-deception.

Advice for Planning a Successful Sabbatical Have a clear goal you’re committed to and passionate about. A sabbatical involves enough dislocation that it cannot be enjoyable without a deeply felt commitment. Fortunately, this may be self-enforcing since in most academic medical centers, the bureaucratic hurdles and administrative inertia are sufficiently high that only the obsessed can overcome them.

Be flexible on means and inflexible on goals. Because you are exploring new areas, it is highly likely that your academic pursuits will not proceed exactly according to plan. New and heretofore unknown resources will turn up in unexpected places, and some of the expected ones will turn out to be redundant, or even blind alleys. Maintain enough flexibility to shift your tactical focus, while retaining constancy of purpose on your strategic goals. A good mentor is invaluable in helping you dynamically reshape your plans to take best advantage of the opportunities that present themselves.

Don’t recreate your old job in a new place. It will be tempting to try to settle into familiar routines in order to avoid some of the shake out the cobwebs and hidden assumptions. Trying to do a little clinical work, a little teaching, a little research, and a little personal development (just like back home) can only mean that not very much of what gets done will be very good (just like back home).

Maintain contact with your home department. Being able to provide a more detached viewpoint on things can be a help to your colleagues, and will help you to understand the ways in which your personal development in the sabbatical can be used for the benefit of your colleagues and students back home.

Reference 1. Bernstein E, James T, Bernstein J. Sabbatical programs and the status of academic emergency medicine: a survey. Acad Emerg Med 1999;6(9):932-938.

After 20-odd years of toil in the fields of academic emergency medicine, I had the good fortune at last of organizing a sabbatical year (assisted greatly by the generous support of SAEM, through its Scholarly Sabbatical Grant). A sabbatical is intended to be a special time apart for concentrated study to enhance one’s academic potential. It should be a time committed to learning and rejuvenation, set aside for acquiring skills and knowledge that cannot be picked up “on the fly” in the normal course of work.

Sabbaticals are rare in academic medicine. A Pubmed search on “sabbatical” since 1965 yields only 104 papers, of which about 25% were only minimally relevant; for comparison, the same search on “pancreatitis” produces almost 40,000 hits. When SAEM surveyed academic programs in 19981, it found that only 1/3 were eligible to participate in some sort of sabbatical program, that less than 10% of senior faculty had ever taken a sabbatical of any kind or length at any time, and that the point estimate of incidence was very low, implying a ‘sabbatical rate’ of 1 every 65 – 70 years for an individual faculty member. Thus, practical knowledge about sabbaticals is necessarily scant.

My sabbatical year was spent primarily in the United Kingdom, learning cognitive engineering and psychology as they relate to safety research in healthcare, under some superb mentors. I learned a great deal in these areas, but also learned a great deal more that was unexpected and “not on the program.” This column will outline some of this unexpected learning, and then close with general suggestions for managing sabbatical time well, with the hope that it will help those who follow, hoping to advance their work and our specialty by committing themselves to this unique type of learning experience.

Unexpected Learning When you leave your comfort zone, it is sometimes uncomfortable. After enough years in one position to be able to negotiate a sabbatical, you will have built up a great deal of infrastructure; unseen networks of informal routines and contacts that make your personal and professional lives run more smoothly. These networks are simultaneously comfortable and entrapping; comfortable, because things behave in an expected way, and not every thing needs to be negotiated anew; but entrapping because they involve assumptions hidden so deeply that they are no longer realized to be assumptions, but are interpreted instead as givens, as reality. Leaving this comfort zone is probably necessary for breakthrough learning to occur, but it also can bring a great deal of discomfort and uncertainty as a new infrastructure is created.

It will be difficult for your significant others. Your discomforts (see above) will be minor compared to those of your partner and/or family. You bring your work with you as a point of focus, and already have (or will rapidly build) personal relationships with your mentor(s) and others in the academic site of your sabbatical, but your spouse and family have been lifted out of their lives and personal networks and set down alone in a new place. This is not necessarily bad, but will require attention and active management.

The reaction of your colleagues will be varied and complex.

Your colleagues will have decidedly mixed feelings about your sabbatical. They will express a mixture of confusion (“What exactly are you doing?”), vicarious pleasure (“You deserve it!”), 9

Sisyphus, Researcher: Notes and Thoughts from the SAEM Neuroscience Fellowship Grant Daniel E. Rusyniak, MD Indiana University In Greek mythology Sisyphus, having upset the gods, was condemned for all eternity to the task of pushing a heavy boulder to the top of the hill. Using all of his energy and effort he would get within inches of the summit only to have the stone roll back down to the bottom. He was then committed to begin the task again. As a researcher early in my career, I often feel like Sisyphus.

Towards the end of my emergency medicine residency I became interested in hyperbaric oxygen therapy and its potential role as a neuroprotective agent for acute stroke. It made perfect sense. In a stroke the brain is deprived of oxygen, and hyperbarics provide lots of oxygen. This would be revolutionary. Like many early researchers, I envisioned myself changing the outcome of a dreaded disease, picking up the Nobel prize in Oslo and thanking my wife and colleagues. First, I would have to do a study to prove my idea.

That seemed simple enough. Get some money, enroll some

patients, publish the results and change the world. Despite an abundance of ambition, I had enormous hurdles to overcome.

For one, I had no clear idea about how to do a clinical study, no research mentor, and no idea how to write a grant. Ah, but what I did have was ignorance. Armed with that, I blissfully pursued the project. Three years later the first patient was enrolled. During this time I completed my residency and started my toxicology fellowship. Our study (HOT STROKE study) involved too numerous to count grant submissions and rejections, IRB rejections and more work than I had ever envisioned. Despite the odds we finally obtained IRB approval, funding and even some basic knowledge of research. Then came the problem of patient enrollment. It has been said that if you would like to cure a disease, simply study it. This I experienced first hand. In the first year of our study, we seemed to have virtually cured stroke. Every patient who came in the ED either did not fit entry criteria or a busy and well meaning col-

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SAEM 2006 Research Grants Emergency Medicine Medical Student Interest Group Grants These grants provide funding of $500 each to help support the educational or research activities of emergency medicine medical student organizations at U.S. medical schools. Established or developing interest groups, clubs, or other medical student organizations are eligible to apply. It is not necessary for the medical school to have an emergency medicine training program for the student group to apply. Deadline: September 8, 2005.

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored program in specific research methods and concepts, and complete a research project. Deadline: November 3, 2005.

Institutional Research Training Grant This grant provides financial support of $75,000 per year for two years for an academic emergency medicine program to train a research fellow. The sponsoring program must demonstrate an excellent research training environment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a formal research education program or advanced degree. It is expected that the fellow who is selected by the applying program will dedicate full time effort to research, and will complete a research project. The goal of this grant is to help establish a departmental culture in emergency medicine programs that will continue to support advanced research training for emergency medicine residency graduates. Deadline: November 3, 2005.

Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine faculty at the level of assistant professor or higher obtain release time to develop skills that will advance their academic careers. The goal of the grant is to increase the number of independent career researchers who may further advance research and education in emergency medicine. The grant may be used to learn unique research or educational methods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeable mentor, or to develop a knowledge base that can be shared with the faculty member’s department to further research and education. Deadline: November 3, 2005.

Emergency Medical Services Research Fellowship This grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emergency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depth training experience in EMS with an emphasis on research concepts and methods. The grant process involves a review and approval of emergency medicine training sites as well as individual applications from potential fellows. Deadline: November 3, 2005.

Further information and application materials can be obtained via the SAEM website at www.saem.org. Also, watch for information on the EMF/SAEM Medical Student Research Grants.

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Sisyphus, Researcher…(continued from page 10) league forgot about the study. Thirty-six months after inception, and twice as long as we had planned, we hit our predetermined 30 patient enrollment. We were all very excited, and then we analyzed the data. Not only did we not see any benefit in the HBO group, they actually did worse. At that time I felt as if my research career was over. I submitted my results for presentation at the 2002 SAEM Annual Meeting in St. Louis and got great feedback and advice from numerous colleagues. I was shocked when they awarded me “Best Young Investigator Presentation.” This feedback renewed my resolve.

Having just finished my fellowship in medical toxicology and a small animal study, I was again full of ambition and energy. As a new emergency medicine faculty in a brand new academic department, I was the only person who was doing full time research. As such I had no real mentors and really no idea of what kind of research I was going to do. After dabbling around in several areas, I decided to look into the mechanism by which the drug “ecstasy” (MDMA) causes hyperthermia. To do this would require basic science research, something I hadn’t done since college. Again, naive as ever, I began writing a grant with the hypothesis that MDMA caused its hyperthermia through a mitochondrial process known as uncoupling. Having a little more knowledge under my belt, I emailed the then SAEM president Brian Zink and asked if he knew anyone in SAEM who could give me advice in my research career. He suggested I talk with David Wright at Emory University who had recently won the SAEM Young Investigator Award. David was kind enough to meet with me over lunch and was the first person to inform me of the keys to success for a young researcher: Time, Focus and a good Mentor. With this advice I headed back to work. My chairman gave me the time; I felt like I had a good area to research and I would only have to find a mentor who studied mitochondria.

Unfortunately, I soon discovered that no one at my University did any research in mitochondria. I had spent considerable time only to discover that I had no one to mentor me.

Undeterred, I found a faculty member on campus that was gracious enough to offer lab space, and received an internal grant with two years of support, including a technician. I submitted our work to the 2003 SAEM Annual Meeting and as before I came away with encouragement from many of my colleagues and renewed energy and focus. This time at the meeting I met with another former recipient of the Young Investigator Award, John Younger, who again stressed the keys of success: Focus, Time and a good Mentor, even if it meant someone outside my campus. I decided that I’d better find that mentor. I was fortunate to locate Jon Sprague, a MDMA researcher in nearby Ohio, who graciously offered off campus mentoring. We were back on track, and making good progress. Then it seemed the ax fell…the researcher whose lab I utilized lost his funding, and closed it down, and my technician had to leave for health reasons Yet fortune intervened, and I miraculously discovered another mentor right on campus, who quickly took me in. I turned again to SAEM and had the wonderful fortune of being awarded the Neuroscience Fellowship Grant recipient.

With this grant I am entering the most productive year of my research career to date. Having a local mentor, an area of focus, and dedicated time and support, I finally feel like I am on my way to conducting successful research. With the funds from my grant I was able to spend more time in the lab, where I have learned the necessary techniques to start a career in the neurosciences. With our initial data I have submitted a KO8 grant.

Like Sisyphus, I too have to felt the frustration of nearly achieving a goal only to have to start again at the beginning.

But there is beauty in the labor and I know that my colleagues and SAEM will be there to help give me the energy to keep pushing my stone up hill.

Acknowledgments: I would like to thank Carey Chisholm, Louise Kao and Janet Rusyniak for valuable editorial suggestions.

Providing Online Resources To Advance Learning in Medical Education The AAMC announces the launch of MedEdPORTAL, a web-based tool that promotes collaboration across disciplines and institutions by facilitating the exchange of peer reviewed educational materials, knowledge, and solutions.

MedEdPORTAL will serve as a central repository of high quality educational materials such as PowerPoint presentations, assessment materials, virtual patient cases, and faculty development materials.

MedEdPORTAL will be implemented in phases through 2005 and 2006. During the initial phase, non-web-based educational materials and those that are available on external websites will be peer-reviewed, referenced, and linked on the MedEdPORTAL site. Faculty may submit their web sites or educational materials at anytime for peer review and if accepted, the resources will be referenced in the MedEdPORTAL system as a peer reviewed resource.

The MedEdPORTAL web address is www.aamc.org/mededportal Individuals interested in submitting educational materials for peer review can review the peer review guidelines and download the submission form from the following MedEdPORTAL web page: www.aamc.org/meded/mededportal/publish.htm A detailed implementation timeline is available on the following MedEdPORTAL web page: http://www.aamc.org/meded/mededportal/timeline.htm Please send questions to Robby Reynolds or Dr. Chris Candler at mededportal@aamc.org

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Highlights of the Annual Business Meeting

Jim Hoekstra, MD, (L), Wake Forest University, was elected SAEM President-elect and is pictured with Immediate Past President, Carey Chisholm, MD, and President, Glenn Hamilton, MD.

Dr. Carey Chisholm (R) presented Dr. Donald Yealy with a plaque to thank him for his service on the SAEM Board of Directors (1999-2005).

2005 SAEM Young Investigator Award recipients: (L-R) Alan Jones, MD, Carolinas Medical Center, Jeffrey Perry, MD, MSc, University of Ottawa, and Henry Wang, MD, MPH, University of Pittsburgh.

Roger Lewis, MD, PhD, (R) the recipient of the 2005 SAEM Hal Jayne Academic Excellence Award is pictured with Dr. Carey Chisholm.

Carey Chisholm, MD, presented Sue Stern, MD, University of Michigan, a special “Impact Award� for her extraordinary contributions to SAEM as a member of the Board (2000-2005) and Program Committee chair (1998-2000).

Dr. Chisholm thanks Dr. Maria Raven for her service as the 2004-2005 Resident Member of the SAEM Board of Directors.

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During the Annual Business Meeting the results of the annual elections were announced. Dr. Hamilton and Dr. Chisholm congratulate (L-R): Louis Binder, MD, Jill Baren, MD, David Cone, MD, and Catherine Marco, MD. Not pictured: Jim Hoekstra, MD, and Jim Adams, MD.

Dr. Carey Chisholm (R) is pictured with Bill Barsan, MD, the recipient of the 2005 SAEM Leadership Award.

SAEM Research Grant recipients: (L-R) Michelle Charfen, MD, Harbor-UCLA Medical Center, Robert Lowe, MD, MPH, Oregon Health and Science University, and Francis Guyette, MD, MS, University of Pittsburgh.

2004 Annual Meeting award recipients were recognized and presented with plaques: (Back L-R) Selim Suner, MD, MS, Brown University, Alan Jones, MD, Carolinas Medical Center, Daniel Davis, MD, University of California, San Diego, Rick Gerein, MD, University of Ottawa, and Italo Subbarao, DO, MBA, Lehigh Valley Hospital. (Front L-R) Brian McBeth, MD, University of Michigan, Jing Chen, MD, Thomas Jefferson University, and Basmah Safdar, MD, Yale New Haven Hospital. Not pictured: Kyle Shaver, University of Pennsylvania, Garig Vanderveldt, Thomas Jefferson University, and Amy Plint, MD, Children’s Hospital of Eastern Ontario.

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Incoming President Glenn Hamilton, MD, (R) thanks Carey Chisholm, MD, for his service to SAEM as President in 20042005.

Career Development Awards Christopher Barton, MD San Francisco General Hospital For the SAEM Faculty Development Committee At the 2004 SAEM Annual Meeting, Dr. James Holmes of the University of California, Davis moderated a panel discussion on Career Development Awards. The panelists included Dr. Davis Kay Anderson of the Agency for Health Research and Quality, Dr. James Quinn of Stanford University, Dr. Terry Vanden Hoek of the University of Chicago, and Ms. Schucker of the National Heart, Lung and Blood Institute. The session provided valuable advice on the identification of sources for these awards and the key components of a successful application. The following is a synopsis of the presentation.

It has been demonstrated time and again that the only way to develop successful research programs is through developing researchers who have dedicated and protected time to develop research skills that allow them to secure extramural funding and implement well designed research plans.

Obtaining protected time for the development of techniques and skills to foster a research career is a goal for many clinicians beginning their academic careers. Emergency Medicine faces the unique challenges of a young speciality with few departments having the necessary research infrastructure and experienced mentors with a track record of extramural funding. These handicaps with the current financial stress on many medical institutions make it more difficult to obtain protected time for research career development. Other than minimal salary support, many institutions are unable to provide funding to support the training and development necessary to develop independent career researchers in emergency medicine to be competitive for extramural funding. This session on career development awards focused on locating The introduction of Career Development Awards (CDW) by the National Institute of Health (NIH) has provided young clinicians with a method of garnering extramural funding and protected time to develop skills necessary for a successful research career. Now both federal and private agencies provide career development type grants that are applicable to many emergency medicine physicians wishing to start a research career. In this didactic session the speakers, successfully funded with career development grants, outlined sources for extramural support for career development and the identification of mentors appropriate for these awards.

Career development grants are awards from federal agencies such as the NIH that fund the time necessary to develop the necessary training and research skills to be competitive for more established extramural funds. The development grants will fund both clinical and non-clinical areas of research. The emphasis is on paying for your time as these grants primarily supply salary support with only a modest amount of money for research support (supplies, equipment etc.). Within the NIH, the recipient of a K Award is expected to spend 75% of his time on the research plan, with the remaining 25% is usually spent providing clinical care. The funded time is to be spent acquiring the skills (taking classes) and research experience (doing research under the guidance of a mentor) that will make the faculty member competitive for the more established grant awards. The most common established grant is the RO1 Award. Obtaining such an award (an RO1) is often viewed as the benchmark of success in research

and in some institutions (for example UCSF) the RO1 is a requirement for promotion to the Associate Professor level, and continued employment, in a research track.

The NIH has many different K awards and a complete list can be found on their web site http://grants.nih.gov/training/careerdevelopmentawards.htm. The main awards of interest to young investigators in emergency medicine are the following: K08 - for basic science, K23 – for clinical research, K01 –minority faculty research, and the K24 – research for older investigators with no more than 15 years of experience.

The duration of these awards is typically from 3-5 years providing for 75% of the faculty member’s time in salary support and for a small amount of research funds (e.g. $25,000/yr).

Salary limits on career awards are not uniform throughout the NIH and are determined independently by each component or institute of the NIH. Therefore, when applying for a K award, prospective candidates should contact their institutional grants manager and the NIH component to which the application is targeted to ascertain the maximum contribution the award will provide towards your salary (e.g in fiscal year 1999 the maximum salary supported was $125,900).

NIH grants are administered or awarded by the various Institutes within the NIH. An applicant identifies the appropriate K award and then determines which Institute supports that award, e.g. National Institute on Aging, or National Insitute on Alcohol Abuse etc. Those unsure of which award fits their individual research goals are able to use the K-award wizard at the NIH web site http://grants.nih.gov/training/kwizard/index.htm.

The other major federal agency funding development awards is the Agency for HealthCare Research and Quality (AHRQ). AHRQ have only a K-08 award for career development. The traditional CDW was the K-08 before the K-23 was started to fund clinical work. AHRQ only funds clinical research and has never funded basic science so they stayed with the K-08 designation, which is a bit confusing since K-08 has now become synonymous with basic science work within the NIH. Application for these awards must occur within 5 years of completing your training (ie, residency/fellowship).

There are numerous other sources of non-federal CDW (AHA, Burrows Welcome, Doris Duke). The SAEM sponsors a 2 year Research Training Grant. This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emergency medicine fellows, resident physicians, or junior faculty.

There are two critical aspects of a successful CDW. The first is the researcher’s time management to acquire the skills and research experience to be successful in obtaining an RO1 (or equivalent). The second is the researcher’s mentorship during this process.

When crafting a grant application, the researcher must show that he will have the time to complete his research development and that he has the commitment to complete it.

The development plan should describe precisely the courses to be taken (e.g. Statistical Analysis 101, The Ethics of Resuscitation, etc) and why they are necessary for the development plan. Laboratory or field training to be experienced,

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New York State SAEM 2005 Regional Meeting Report Richard Sinert, DO SUNY-Downstate Medical Center Chair, SAEM New York State Regional Meeting 2005 SUNY-Downstate Medical Center in Brooklyn was honored to host the 5th Annual New York State Regional Meeting on April 3, 2005. Over 125 participants representing academic programs both native to New York State and those in surrounding states attended the meeting. The gathering started with introductory remarks by Dr. Michael Lucchesi, Chair of Emergency Medicine at SUNY-Downstate. Dr. Dan Mayer from University of Albany gave the keynote address on EvidenceBased Medicine. Dr. Mayer’s book, “Essential Evidence-Based Medicine” a personal favorite of mine was also chosen as the prize for the best presentations.

Following the keynote address, 80 oral presentations of abstracts were orchestrated simultaneously in 5 separate rooms. I would like to thank all our moderators, who kept to a daunting schedule while promoting many thoughtful discussions: Yash

Chathampally, MD, Christopher Doty, MD, Mark Spector, DO, Shahriar Zehtabchi, MD, Mark Silverberg, MD, Seth Manoach, MD, Jeff Hom, Mary Frances Ward, RN, MS, Moshe Weizberg, MD, Hossien Shahidi, MD, David Lee, MD, Benita Shah, MD, Todd Bania, MD, Mark Su, MD, Sage Weiner, MD, Adam Singer, MD, Lorenzo Paladino, MD and Antonia Hipp, DO. After an address by Dr. Glenn Hamilton, President-Elect of SAEM, awards of excellence were given for the following presentations: Dr. Adam Singer’s son Daniel Singer: “Histomorphologic Effects of a Hand Held Laser Device for Assisting Topical Anesthesia in a Porcine Model,” Dr. Nadine Levick: “An Optimal Solution for Enhancing Ambulance Safety: Implementing a Driver Performance Feedback and Monitoring Device in Ground Ambulances”: Dr. Boris Khodorkovsky: “Sublingual Capnometry for Rapid Determination of

the Severity of Hemorrhagic Shock”; Dr. Joel Kravitz: “A Randomized, DoubleBlind Investigation of Two Days of Dexamethasone Versus Five Days of Prednisone in the Treatment of Acute Asthma”; Dr. L. Albert Villarin, Jr: “The Impact of Triage Classification and Level of Training on ED Patient Flow as Measured by Use of a Web-Based Infrared and Radio Frequency PassiveTracking System.”

During lunch, Dr. Christopher Doty, Assistant Residency Director at SUNYDownstate, led a discussion on “The Logic of an IM/EM Program” for medical students. The afternoon session began with a talk by Dr. Almeida, from Portugal, describing his recent experiences of Disaster Management in Iraq.

Concurrent with Dr. Almeida’s talk Dr. Wyer and his Evidence-Based Medicine team gave an interactive demonstration of EBM skills. I would like to personally thank Gladys Ortiz, for all her efforts in organizing this meeting.

Career Development Awards…(continued from previous page) proposed research meetings to be attended (when and how often), and workshops to be taken should be described thoroughly. A proposed research plan should demonstrate how it relates to individual career development and how it provides the necessary experience to do so. Research plans should be distinct from the mentor’s research work. The research budget should detail salary support, additional requests (books, tuition, registration fees, travel fees etc.) and a specific plan for spending the research funds (e.g. $25K is allowed in the K08 and $50K in the K23). Involving an institution’s financial officer very early on in the grant application and budgeting process is highly recommended. Research administrators will know how to construct the figures to comply with federal rules and how to incorporate the typical 8% of overhead costs needed to include in the grant.

Faculty mentors chosen to assist in the research and named in the grant should have expertise in the specific area of interest of the faculty member and have a track record of successful funding and publishing. Prior experience at mentoring is suggested. The mentor must commit in writing to spending time with the applicant, and it should be outlined how the mentor will be used during the award period – i.e. how many meetings per month, what will be reviewed during the mentoring sessions, how the mentor will critique and improve the research work, etc. Mentors selected should be on site, therefore encouraging availability and time to be involved in the research project and in the faculty development of the grant applicant. The mentor should also assist in the selection of appropriate members to establish an advisory committee to review the faculty member’s work on an ongoing regular manner.

Lastly, institutional commitment must be demonstrated in all grant applications. Letters of support need to be obtained from mentors, the Department Chair, the Dean, and the Laboratory PI (if other than the mentor). These individuals must all commit to the grant applicant by promising protected time, space and funds to complete the proposed research.

Finally, well in advance of the grant submission deadline it is an acceptable practice and often very helpful to contact the section leader of the research group that will review the grant and ask for advice. Specifically, in many cases, a section leader will offer to review a grant or suggest someone to critique it before final submission.

Grants are scored on scientific merit, and funding levels are affected by an agency’s priorities (which change from year to year and can be checked on the web site of the individual Institute) and on the availability of funds.

Common pitfalls in initial grant applications are: lack of originality, an unfocused plan, lack of essential methodology, too much or too little time allocated, a research project that can’t possibility completed on time, and insufficient institutional commitment.

Lastly, a young researcher must be prepared for rejection on his first grant submission. Rejections are usually accompanied by good constructive feedback on how to prepare for a resubmission. Persistence, not despair, is the key. Many successful researchers and grant recipients have been known to submit their grants many times before securing an RO1 Award.

The following web sites provide additional information on CDW’s. grants.nih.gov/grants/grant_tips.htm, www.nap.edu/ readingroom/books/mentor, www.nih.gov/sigs/bioethics, www-commons.cit.nih.gov/crisp/, www.ahrq.gov.

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Semi-Final CPC Competition Results On May 21, sixty Emergency Medicine Residency Programs competed in the fifteenth Annual Semi-Final CPC Competition. A resident from each participating program submitted a challenging unknown case for discussion by an attending from another residency program. The faculty discussant had 20 minutes to develop a differential diagnosis and explain the thought process leading to the final diagnosis. Congratulations to the 2005 winners!

Winning presenters and discussants were selected from each of six tracks and these individuals will compete in the CPC Finals that will be held at the ACEP Scientific Assembly in Washington, DC on September 26. It is not necessary to register for the Scientific Assembly if you plan to only attend the CPC. The CPC Competition is sponsored by ACEP, CORD, EMRA, and SAEM and was coordinated by Doug McGee, DO, Albert Einstein.

Division 1 (L-R) Manish Garg, MD, Temple University – Best Discussant Runner-Up; Worth Everett, MD, University of Pennsylvania – Best Discussant; Gloria Kuhn, DO – Division 1 Team Leader; Vincent Retirado, MD, University of Pennsylvania – Best Presenter; Robert W. Malizia, MD, UMDNJ-Robert Wood Johnson/Cooper University Hospital – Best Presenter Runner-Up

Division 4 (L-R): Dennis P. McKenna, MD, Albany Medical Center Hospital – Best Discussant; Mary T. Ryan, MD – Division 4 Team Leader; Amanda S. Young, MD, Maine Medical Center – Best Presenter; Britney B. Anderson, MD, Northwestern University – Best Presenter Runner-Up; Not Pictured: Christopher T. Bowe, MD, Maine Medical Center – Best Discussant Runner-Up

Division 2 (L-R): Arthur M. Pancioli, MD, University of Cincinnati – Best Discussant; James E. Black, MD, University of South Florida – Best Presenter; Carl Menckhoff, MD – Division 2 Team Leader; Andrew C. Miller, DO, Lehigh Valley Hospital – Best Presenter Runner-Up; Bryan G. Kane, MD, Lehigh Valley Hospital – Best Discussant Runner-Up

Division 5 (L-R): Jeanette M. Ebarb, MD, University of Virginia – Best Presenter; Joel Kravitz, MD, Albert Einstein Medical Center, Philadelphia – Best Discussant; Amy Church, MD – Division 5 Judge; Sara R. Shimmin, MD, Mayo Clinic – Best Presenter Runner-Up; Not Pictured: Kama Guluma, MD, University of California, San Diego – Best Discussant RunnerUp

Division 3 (L-R): Melissa Givens, MD, University of Texas Southwestern – Best Discussant; Matthew Griffith, MD – Division 3 Team Leader; Jill Vessey, MD, Mount Sinai Medical Center – Best Presenter; Not Pictured: Dan Gilday, DO, Christiana Care Combined EM/IM Program – Best Presenter Runner-Up; and Leo Burns, MD, Christiana Care Combined EM/IM Program – Best Discussant Runner-Up

Division 6 (L-R): Rishi Sikka, MD, Boston Medical Center – Best Discussant Runner-Up; D. Matthew Sullivan, MD, Carolinas Medical Center – Best Discussant; Neil Jasani, MD – Division 6 Team Leader; Jeffrey Willis, MD, Carolinas Medical Center – Best Presenter Runner-Up; Not Pictured: Carol Venable, MD, Boston Medical Center – Best Presenter 16

Ethics Consult: Who Controls the Publication?

Terri Schmidt MD, MS Oregon Health and Sciences University Chair, 2004-05 SAEM Ethics Committee The SAEM Ethics Committee offers an ethics consult service. The purpose of this service is to provide a response to broad ethical concerns in emergency medicine and especially academic emergency medicine. It is the hope of the ethics committee that these responses will provide guidance both to the individual(s) who submit the consult request and to the general membership of the Society. To that end, the Ethics Committee can provide a direct response to the consult request as well as publishing an opinion here in the newsletter. The identity of the person making the original request will not be disclosed without permission. A consult request and the response follow.

Consult Request “I was recently confronted with a legal document from our IRB that requires investigators to sign the following statement: "Investigator shall not publish any data or study results without the consent of XXXX (institution)."

This issue generates several questions: 1. Is it ethical for institutions to require researchers to sign such a document?

2. Is it ethical for researchers to agree to withhold publication of results, pending institutional approval?

3. What actions should researchers take to safeguard the integrity of freedom of speech in the dissemination of research results?”

Ethics Committee Response The Ethics Committee would like to consider this from two perspectives: academic freedom and scientific integrity. From both of these perspectives the Committee would suggest that it is not appropriate for an institution to require consultation prior to publication of research results. The IRB process is designed to assure that the research is designed to protect subjects and the journal review process is designed to assure that the results are fairly and accurately presented.

In responding to the person who made the consult, the committee chose to provide a succinct memo highlighting the major issues, in order to allow that person to provide a response to the institution. At this time the institution is considering changing its policy. In order to prepare the above statement the Committee reviewed the literature on the topic and based its response on two important principles: Academic freedom and scientific integrity.

Scientific integrity and publication of research results have received attention, especially as it relates to industry-sponsored research, because of reports of cases where industry has attempted to suppress publication of negative results and evidence that studies sponsored by industry are more likely to report favorable results. Recently concerns about the COX-2 inhibitors have been prominent in the lay press.

This case was interesting because a concern was raised not about an industry contract attempting to control publication of results, but an institution. We do not know the rationale for this clause in a researcher’s contract but believe that regardless of the source (industry, government, or institution) the researcher must retain control of the right to submit results.

This is consistent with the policy of the International Committee of Medical Journal Editors and many journals that now require authors to sign a statement stating that, “they accept full responsibility for the conduct of the study, had access to the data, and controlled the decision to publish.”

(Italics added) References Rennie D: Thyroid storm JAMA 1997; 277:1238 Vogel G: Long-suppressed study finally sees light of day Science 1997; 276:525 Montaner JSG, O’Shaughessy MV, Schechter M: Industrysponsored clinical research: A double-edged sword Lancet 2001; 358:1893 Lexchin J, Bero LA, Djulbegovic B, Claek O: Pharmaceutical industry sponsorship and research outcome and quality: Systemic review BMJ 2003; 326:1167 Smith R: Maintaining the integrity of the medical record BMJ 2001; 323:588

Academic Freedom The American Association of University Professors and Association of American Medical Colleges published a Statement of Principles on Academic Freedom and Tenure in 1940. It states in part: “Teachers are entitled to full freedom in research and in the publication of the results…” This is based on the statement, “Freedom in research is fundamental to the advancement of truth”. (www.aaup.org/statements/Redbook/1940stat.htm) Scientific Integrity In 1991 the editors of major medical journals published guidelines designed to protect the integrity of the research process.

They make the following statement: “Authorship means both accountability and independence…contracts should give the researchers a substantial say in trial design, access to the raw data, responsibility for data analysis and interpretation, and the right to publish— the hallmarks of scholarly independence and, ultimately, academic freedom.” (Davidoff F, DeAngelis CD, Drazen JM et al: Sponsorship, authorship and accountability JAMA 2001; 286:1232-4)

To read more about the Ethics Consultation Service or to submit a request for a consult, please see the article on page 31

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More Annual Meeting Highlights

Kevin Rodgers, MD, Indiana University, (left) facilitated the discussion at one of the Lunch Question/Answer sessions during the Chief Resident Forum. The Forum was attended by 205 chief residents.

During the Annual Meeting various past and present SAEM leaders visited the Josiah Macy Jr Foundation in New York City where Glenn Hamilton delivered our thanks to June Osborn, MD, for the Foundation's decade-long support of our specialty and its commitment to serve the public. (top-bottom) Carey Chisholm, MD, Donald Yealy, MD, Glenn Hamilton, MD, Kate Heilpern, MD, Dr. Osborn, Art Kellermann, MD, and Lewis Goldfrank, MD.

Richard Knapp, PhD, Executive Vice President of the AAMC met with leaders during a lunch scheduled by SAEM. (L-R) Jim Hoekstra, MD, (SAEM) Steve Hargarten, MD, (AACEM) Carey Chisholm, MD, (SAEM) Dr. Knapp, Mary Jo Wagner, MD, (CORD) Louis Binder, MD, (CORD) and Glenn Hamilton, MD (SAEM). Not pictured: Robert Cuter, DO (FACEP) and Antoine Kazzi.

Participants in the Research Fund Donor Reception listen to Dr. Zink's presentation: (L-R) Michelle Blanda, MD, Steve Bernstein, MD, Dave Sklar, MD, Deb Houry, MD, MPH, Ken Iserson, MD, MBA, Rita Cydulka, MD, MS, and Rebecca Smith-Coggins, MD.

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CORD Meets in New York The Council of Emergency Medicine Residency Directors (CORD) met in New York on May 23 from 8:00 am until 12:00 noon. During the meeting, Steve Hayden, MD, University of San Diego, presented his final President's Message and Pam Dyne, MD, UCLA-Olive View, began her two-year term as CORD President. In addition, to agenda items such as reports from ABEM and the RRC-EM, the organization's annual elections were held.

Mary Jo Wagner, MD, Synergy Medical Education Alliance, was elected president-elect and Michael Beeson, MD, Akron City Hospital, was elected secretary/treasurer. Dr. Wagner and Dr. Beeson were elected to two-year terms. In addition, Gloria Kuhn, DO, Wayne State University, and Philip Shayne, MD, Emory University, were elected as members-at-large on the Board of Directors.

The CORD membership voted on a number of Bylaws amendments that were proposed by the Bylaws Committee and submitted to the membership in April.

The annual CORD awards were presented during the CORD Meeting. The CORD Faculty Teaching Award was presented to Chris Weaver, MD, from Indiana University. The CORD Resident Academic Achievement Award was presented to corecipients Erik Hess, MD, from Mayo Clinic, and Michael Donnino MD, from Henry Ford Hospital.

The next CORD Meeting will be held during the ACEP Scientific Assembly in Washington, DC on Monday, September 26 from 8:00 am until 12:00 noon. The CORD Board of Directors and many of the committees and task forces will also meet during the ACEP Scientific Assembly.

Academic Announcements SAEM members are encouraged to submit Academic Announcements on promotions, research funding, and other items of interest to the SAEM membership. Submissions must be sent to saem@saem.org by August 3 to be included in the September/October issue.

David Berkoff, MD, has won the Harry Galanty Young Investigators Award at the national conference for the American Medical Society for Sports Medicine in Austin Texas. Dr. Berkoff will become the first Duke University Emergency Medicine Sports Fellow in July 2005.

Charles B. Cairns, MD, has been appointed as Director of the Duke Emergency Medicine Research Center and Associate Chief for Academic Affairs in the Division of Emergency Medicine at Duke University. In addition, he has been appointed as the Director of Emergency Medicine Research at the Duke Clinical Research Institute Patricia Dischinger, PhD, of the National Study Center for Trauma and EMS, and Program Director and co-Investigator, Jon Mark Hirshon, MD, MPH, Associate Director of the National Study Center for Trauma and EMS, have been awarded a five-year $809,691 grant from the Fogarty International Center of the National Institutes of Health of Injury Prevention Research Training in Egypt.

Gus Garmel, MD, was selected as the recipient of Santa Clara County Medical Association's 2005 award for "Outstanding Contribution to Medical Education. Physicians from all primary care and medical specialties in Santa Clara County are eligible for the award.

Jim Holliman, MD, Professor of Emergency Medicine and Director of the Center for International Emergency Medicine at Penn State University in Hershey, Pennsylvania, was recently appointed Adjunct Professor of Emergency Medicine at Nanjing Medical University in Nanjing, China. He is the first American to receive this type of lifetime appointment from Nanjing Medical University.

David Marcozzi, MD and Charles Gerardo, MD, have developed a curriculum for a Disaster Preparedness Intersession.

Both are assistant professors in the Division of Emergency Medicine at Duke University Medical Center. This course will be used to prepare all Duke School of Medicine graduates for the new medical concerns that are involved in mitigating, preparing for, responding to and recovering from mass casualty and terrorist events. Instructors including firefighters, hazardous material technicians, paramedics, nurses, emergency managers, and physicians will use innovative teaching

styles that impart knowledge through interactive modules, panel discussions, multimedia presentations, table top exercises, disaster drills and small and large group discussions.

Susan Promes, MD, was recently selected to be the Course Director for Duke University’s School of Medicine first Capstone Course. The month-long course is designed for 4th year medical students to be the final preparation for internship/residency. The course highlights topics such as application of clinical care concepts, ethical issues, professionalism, and doctor/patient communication.

Victoria Thornton, MD, has been awarded a scholarship to the American Pain Society Essentials of Pain Management at the annual Scientific Meeting of the American Pain Society.

She was also awarded a one-year membership in the Pain Society John Villani, MD, has been awarded a Johnson & Johnson Post-Doctoral Fellowship in Outcomes Research. He has accepted a position as a new core faculty member at Duke University Division of Emergency Medicine and will become the Assistant Residency Director.

Lt. Col. John Wightman has been promoted to Professor of Emergency Medicine at the Wright State University School of Medicine. He is the first emergency physician on continuous, active, military duty to obtain the unmodified rank of professor in any U.S. medical school. Dr. Wightman has served with the Department of Emergency Medicine and the Wright Patterson Medical Center for nearly 10 years. He is currently deployed overseas.

The Department of Emergency Medicine at Wright State University celebrated the 25th anniversary of its graduating class and the founding of the Department in June. The Department, founded in 1980, was the fourth full academic department. Over 250 emergency physicians have graduated from the training program since that time, and nearly one-third of the graduates attended the celebration. The celebration included the unveiling of the Department's new Homeland Emergency Learning and Preparedness (HELP) Center to be based on the Veteran's Administration Campus in conjunction with Wright State University.

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More Annual Meeting Highlights

Dr. Michelle Biros, AEM Editor, is pictured with Glenn McGee, PhD, Director of the Center for Medical Ethics Research and Professor of Medicine at Albany Medical Center. Dr. McGee was the Keynote Speaker at the AEM Consensus Conference on the Ethical Conduct of Resuscitation Research.

The 2005-06 AACEM Executive Committee is pictured with 2003-04 Past President, Dr. Jerris Hedges. (L-R) Steve Hargarten, MD, MPH, Immediate Past President, Gabe Kelen, MD, President, Bill Barsan, MD, President-elect, Judith Tintinalli, MD, Secretary-Treasurer, and Dr. Hedges.

Many thanks to the 2005 Annual Meeting Program Committee. (L-R back row) Gary Vilke, MD, Terry Vanden Hoek, MD, Brigitte Baumann, MD, Deborah Diercks, MD (obscured), Betsy Datner, MD, Chris Decker, MD, Timothy Reeder, MD, Terry Kowalenko, MD, Craig Newgard, MD, Gregg Garra, MD, and Jack Kelly, MD. (L-R front row) Kevin Rodgers, MD, John Ma, MD, Susan Promes, MD, Richelle Cooper, MD, Judd Hollander, MD, Debra Houry, MD, Lowell Gerson, PhD, Andra Blomkalns, MD, Mildred Willy, MD, and Board Liaison, Ellen Weber, MD. Not pictured: Robert Gerhardt, MD, Latha Stead, MD, and Michael Tuturro, MD.

Brian Zink, MD, SAEM past president and chair of the Finance Committee, presented, "The Strange and Strenuous History of Academic Emergency Medicine," at the SAEM Research Fund Donor Reception.

Dr. Jerris Hedges, Past President and new emeritus member of AACEM, was presented with a clock in recognition of his service to AACEM. 20

2005 Southeastern Regional SAEM Meeting Report David Cline, MD Wake Forest University The 2005 Southeastern Regional SAEM Meeting was held at the Friday Center in Chapel Hill North Carolina April 8 and 9. Over 150 registrants participated in the meeting. Keynote addresses were given by Ian Steill: “Applied Clinical Research” and Glenn Hamilton: “Future Directions for SAEM”.

One-hundred twenty five abstracts were submitted to the meeting; 99 abstract presentations were given by authors representing 35 different institutions. Five abstract presentations received awards. Best Oral Presentation given by a faculty member was awarded to Karen Woolfrey for “The Effect Of Triage-Applied Ottawa Ankle Rules on Length of Stay In a Canadian Urgent Care Department: A Randomized Control Trial.” Best Oral Presentation given by a Resident/Fellow was awarded to Alice Mitchell for “Comparison of Novel Markers of Acute Coronary Syndromes In Low-Risk Emergency Department Patients.” Best Presentation given by a student

was awarded to Sascha Nelson for “Evaluation of Georgia's (GA) Teenage and Adult Driver Responsibility Act (TADRA).”

Best Poster Presentation given by a Faculty Member was awarded to Jeffrey Kline for: “Measurement of end-tidal pCO2/pO2 Ratio to Diagnose Pulmonary Embolism.” Best Poster Presentation given by a Resident was awarded to Amy Gutman for “Reduction of Ventilation Rates During Out-ofHospital CPR Does Not Increase ROSC.” Special thank you goes to the Program Chairs: Susan Promes and Cherri Hobgood, plus the Program Committee: Valerie De Maio, David Cline, Chuck Cairns, Peter DeBlieux, Andy Godwin, Eric Higginbotham, Philip Shayne, Timothy Reeder, Anna Waller, Parker Hays, Trevor Mills, and Lisa Mills. The 2006 Southeastern SAEM meeting will be coordinated by David Cline (dcline@wfubmc.edu).

8th Annual Western Regional SAEM Research Forum a Big Hit! Pam Dyne, MD UCLA - Olive View Chair, 2005 SAEM Western Regional Meeting A very successful 8th Annual Western Regional SAEM Research Forum was held on April 9-10, 2005 in the beautiful Marina Del Rey Marriott. There were approximately 125 conference participants this year, which is up about 20% from the last two years of the Western Regional meetings. The conference was hosted by the UCLA/Olive View-UCLA Emergency Medicine Residency Program and chaired by Pam Dyne.

Abstracts were coordinated by David Schriger (UCLA), and registration coordinated by Lynne McCullough (UCLA). The didactic portion of the conference had an overall theme of “Managing Uncertainty,” and this was a big hit with the audience participants. The speakers and topics were as follows: • Uncertainty in Clinical Practice: Panel led by Jerome Hoffman (UCLA), and included Ricardo Ismach (Oregon Health and Sciences University) and Mel Herbert (University of Southern California) • Uncertainty in Evaluating the Medical Literature: David Schriger (UCLA) • Uncertainty in the Medico-legal Court Room: Panel led

by Marshall Morgan (UCLA), and included David Talan (Olive View-UCLA) and Mark Langdorf (University of California, Irvine).

• Uncertainty in Educational Assessment: Panel led by Pam Dyne (Olive View-UCLA), and included Gene Hern (Highland), Wendy Coates (Harbor-UCLA), and Jennifer Oman (University of California, Irvine).

There were short “sound bites” on the following topics: • Uncertainty in Combat Medicine: John Love (Naval Medical Center, San Diego) • Uncertainty in Domestic Violence Research: Deirdre Anglin (University of Southern California) • Uncertainty in Toxicology Research: Frank LoVecchio (Maricopa Medical Center)

• Uncertainty in Disaster Relief: Carl Schultz (University of California, Irvine) • Uncertainty in International Relief Assessment: Tyler Barrett (Chief Resident, UCLA/Olive View-UCLA) A great opportunity for medical students came on Sunday morning during a very successful medical student session.

The medical students were able to ask general and specific questions of the residency program representatives that were there, which included nearly all of the training programs in the region!

The research segment of the conference was also a success. Approximately 120 abstracts were submitted, and ultimately there were 60 presented as posters and 4 presented orally in the plenary session. The highlight of the meeting was probably an impromptu walk-around tutorial on the visual aesthetics of poster design by expert methodologists David Schriger and Richelle Cooper. This was a huge treat for all who attended, and actually carried over to the concluding session of the conference, which was “Meet the Experts: Roundtable Discussions.” The large following that the Schriger/Cooper team had assembled continued, along side the other experts who also each had their share of interested participants and their respective table. These included Karl Sporor (San Francisco Poison Center) on Toxicology, Chris Fox (University of California, Irvine) and Mike Peterson (Harbor-UCLA) on Ultrasound, Greg Moran (Olive View-UCLA) on Multi-Center Clinical Trials, and Jerris Hedges (Oregon Health and Sciences University) on Injury Prevention.

Next year’s Western Regional SAEM Research Forum will be hosted by University of Southern California and chaired by Deirdre Anglin, MD. It will also be at the Marina Del Rey Marriott. Look for the announcements next Spring and plan to attend!

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CORD Meets in New York City

Dr. Michael Donnino, Henry Ford Hospital, (R), one of the co-recipients of the CORD Resident Academic Achievement Award, is congratuled by Dr. Chris Lewandowski.

The 2005-2006 CORD Board of Directors: (L-R back) Michael Beeson, MD, Steve Hayden, MD, and Philip Shayne, MD. (L-R front) Pam Dyne, MD, Gloria Kuhn, DO, PhD, Sarah Stahmer, MD, and Mary Jo Wagner, MD. Not pictured: Louis Binder, MD.

Dr. Steve Hayden is thanked for his services as the CORD President (2003-2005) and is presented with a plaque by incoming president, Pam Dyne.

Dr. Annie Sadosty congratulates Dr. Erik Hess, Mayo Clinic, one of the co-recipients of the CORD Resident Academic Achievement Award.

Dr. Hayden thanked Dr. Gregg Garra, Stony Brook University, for his service as the Chair of the Program Committee and his work in developing the CORD meetings.

Dr. Chris Weaver, Indiana University, (R) is congratulated by Dr. Rolly McGrath as the recipient of the CORD Faculty Teaching Award.

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2005-2006 Committee/Task Forces The 2005-2006 Committee/Task Force members are listed below, including many residents members noted with an asterisk.

Board Liaisons are also indicated. The committee/task force appointments run from May 2005-May 2006. Committee/Task Force objectives may be viewed on saem.org. SAEM has made every effort to ensure the accuracy of this list, and apologizes for any corrections or additions that have been omitted. Contact saem@saem.org with any corrections.

Awards Committee Chair: William G. Barsan, MD, University of Michigan: wbarsan@umich.edu Board Liaison: Carey D. Chisholm, MD, Indiana University Jerris R. Hedges, MD, MS, Oregon Health and Science University Judd E. Hollander, MD, University of Pennsylvania Louis J. Ling, MD, Hennepin County Medical Center Marcus L. Martin, MD, University of Virginia Emanuel P. Rivers, MD MPH, Henry Ford Hospital Donald M. Yealy, MD, University of Pittsburgh Constitution and Bylaws Committee Chair: Craig, Newgard, MD, Oregon Health and Science University: newgardc@ohsu.edu Board Liaison: Jill Baren, MD, University of Pennsylvania David Cone, MD, Yale University Charlene Irvin, MD, St. John Hospital and Medical Center Development Committee Chair: Brian Zink, MD, University of Michigan: bzink@umich.edu Board Liaison: James Hoekstra, MD, Wake Forest University G. Richard Braen, MD, Buffalo General Hospital Francis Counselman, MD, Eastern Virginia Medical School Steven Davidson, MD, MBA, Maimonidies Medical Center Griffin Davis, MD, MPH, George Washington University Heather Prendergast, MD, University of Illinois at Chicago Peter Rosen, MD, Beth Israel Deaconess Medical Center Joshua Schier, MD, Emory University Educational Research Subcommittee (of the Research Committee) Chair: Gloria, Kuhn, DO, PhD, Wayne State University/Detroit Medical Center: gkuhn@med.wayne.edu Board Liaison: Jeffrey Kline, MD, Carolinas Medical Center Wendy Coates, MD, Harbor-UCLA Medical Center Scott Compton, PhD, Wayne State University D. Mark Courtney, MD, Northwestern University Karen Hansen, MD, University of Maryland Chadwick Miller, MD, Wake Forest University Ethics Committee Chair: Raquel, Schears, MD, MPH, St. Mary's Hospital: schears.rocky@mayo.edu Board Liaison: Catherine Marco, MD, St. Vincent Mercy Medical Center Andrew Beckman, MD, Indiana University Jason Hughes, MD, University of Iowa Desiree La Charite, MD, University of Wisconsin Gregory Larkin, MD, MS, MSPH, University of Texas Southwestern *Jayne MacLaughlin, MD, Carolinas Medical Center John Marshall, MD, Maimonides Medical Center Jon Mason, MD, Eastern Virginia Medical School Brian McBeth, MD, University of Michigan Katie McClure, MD, Oregon Health and Science University Michael Mello, MD, MPH, Rhode Island Hospital Tammie, Quest, MD, Emory University Junaid Razzak, MD, Emory University Terri Schmidt, MD, Oregon Health and Science University *Drew Watters, MD, University of Arizona Kenneth Whitlow, DO, Emory University

Ilene Wilets, PhD, Mount Sinai Medical Center Faculty Development Committee Chair: Theodore Christopher, MD, Thomas Jefferson University: theodore.christopher@mail.tju.edu Board Liaison: Ellen Weber, MD, University of California, San Francisco Brent Asplin, MD, Regions Hospital Yvette Calderon, MD, Jacobi Medical Center Jennifer Casaletto, MD, Carolinas Medical Center Gregory Conners, MD, MPH, MBA, University of Rochester Rachel Dahms, MD, Regions Hospital Eric Gross, MD, George Washington University Michael Hochberg, MD, Albert Einstein/Beth Israel Robert Hockberger, MD, Harbor UCLA Medical Center Dave Holson, MD, MPH, Harlem Hospital Center David Jerrard, MD, University of Maryland Steve Kristal, William Beaumont Hospital David Lee, MD, North Shore University Hospital Jeffrey Love, MD, Georgetown University Hospital Usamah Mossallam, MD, Henry Ford Hospital Robert Muelleman, MD, University of Nebraska Tracy Sanson, MD, Brandon Regional Hospital Rawle Seupaul, MD, Indiana University Prem Shukla, MD, MS, University of Texas, Southwestern Finance Committee Chair: Frank Zwemer, Jr, MD, MBA, University of Rochester: frank_zwemer@urmc.rochester.edu Board Liaison: Katherine Heilpern, MD, Emory University Imoigele Aisiku, MD, Emory University Brooks Bock, MD, Wayne State University David Brown, MD, Harvard Medical School Ann Chinnis, MD, MSHA, West Virginia University *Aaron Collins, MD, University of Louisville Thomas Cook, MD, Palmetto Richland Memorial Hospital Steven Dronen, MD, Fort Sanders Sevier Medical Center Gabor Kelen, MD, Johns Hopkins University Marc Mickiewicz, MD, Vanderbilt University Abraham Warshaw, MD, North General Hospital Geriatric Task Force Chair: Lowell Gerson, PhD, Northeastern Ohio Universities: lgerson@neoucom.edu Board Liaison: *Lancer Scott, MD, East Carolina University Christopher Carpenter, MD, Washington University James Espinosa, MD, Overlook Hospital Neal Flomenbaum, MD, New York Hospital Kennon Heard, MD, University of Colorado Tess Hogan, MD, Resurrection Medical Center Ula Hwang, MD, MPH, Mount Sinai Seth Landefeld, MD, University of California, San Francisco Eve Losman, MD, University of Michigan Douglas Miller, MD, Indiana University John Morley, MD, BCH, St. Louis University Medical Center Kelly O'Keefe, MD, Tampa General Hospital Arthur Sanders, MD, University of Arizona Manish Shah, MD, University of Rochester Kevin Terrell, DO, MS, Indiana University Scott Wilber, MD, Northeastern Ohio Universities Graduate Medical Education Committee Chair: Douglas McGee, DO, Albert Einstein Medical Center: 23

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Committee/Task Forces‌(continued from page 23) mcgeed@einstein.edu Board Liason: Carey Chisholm, MD, Indiana University Rebecca Bloch, MD, Maine Medical Center Ioliene Boenau MD, Eastern Virginia Medical School *Bhrath Chakravarthy, MD, Mount Sinai Amy Church, MD, Maimonides Medical Center Jim Colletti, MD, Regions Hospital Jonathan Davis MD, Georgetown University Michele Dorfsman, MD, University of Pittsburgh Susan Dufel, MD, University of Connecticut Chris Ghaemmaghami, MD, University of Virginia William Gibson, MD, San Antonio Uniformed Services Jeffrey Hackman, MD, University of Missouri - Kansas City *Daniel Handel, MD, MPH, University of Cincinnati Phillip Harter, MD, Stanford University/Kaiser Permanente Armando Hevia, III, MD, Ochsner Clinic Foundation Douglas Holtzman, MD, Wake Forest University David Howes, MD, University of Chicago Mary Mallory, MD, University of Louisville Rick McPheeters, DO, Kern Medical Center Michael Miller, MD, Darnall Army Community Hospital Flavia Nobay, MD, University of California San Francisco Fresno *William Northington, MD, University of Pittsburgh Joanne Oakes, MD, University of Texas at Houston *Lane Patten, MD, Regions Hospital *Gillian Rickmeier, MD, University of North Carolina *Jon Rittenberger, MD, University of Pittsburgh Jedd Roe, MD, MBA, University of Alabama at Birmingham Peter Shearer, MD, Elmhurst Hospital Center Raffi Terzian, MD MPH, University of Pennsylvania *David Vega, MD, York Hospital Christopher Weaver, MD, Indiana University Grants Committee Chair: Clifton Callaway, MD PhD, University of Pittsburgh: callawaycw@upmc.edu Board Liaison: Leon Haley, Jr, MD, MHSA, Emory University Felix Ankel MD, Regions Hospital Steven Bird, MD, University of Massachusetts Donna Carden, MD, Louisiana State University - Shreveport John Finnell, MD, Regions Hospital Jason Haukoos, MD, MS, Denver Health Medical Center Christopher Hogan, MD, Virginia Commonwealth University James Holmes, Jr, MD, MPH, University of California, Davis Alan Jones, MD, Carolinas Medical Center E. Brooke Lerner, PhD, EMT-P, University of Rochester Frank LoVecchio, DO, Good Samaritan Regional Poison Center James McClay, MD, University of Nebraska David Milzman, MD, Washington Hospital Center Karin Przyklenk, PhD, University of Massachusetts Daniel Rusyniak, MD, Indiana University Manish Shah, MD, University of Rochester *Benjamin Sun, MD, Clinical Scholars Program Robert Swor, DO, William Beaumont Hospital Scott Wilber, MD, Northeastern Ohio Universities Robert Woolard, MD, Rhode Island Hospital Kelly Young, MD, Harbor-UCLA Medical Center Industry Relations Task Force Chair: Deborah Diercks, MD, University of California, Davis: dbdiercks@ucdavis.edu Board Liaison: Jeffrey Kline, MD, Carolinas Medical Center Charles Cairns, MD, University of Colorado Douglas Char, MD, Washington University Judd Hollander, MD, University of Pennsylvania David Kramer, MD, York Hospital William Peacock, MD, Cleveland Clinic Charles Pollack, Jr, MA MD, University of Pennsylvania

Edward Sloan, MD, MPH, University of Illinois Terry Vanden Hoek, MD, University of Chicago Robert Zalenski, MD, Wayne State University Institute of Medicine Report Task Force Chair: Carey Chisholm, MD, Indiana University: cchisholm@clarian.org Board Liasion: Ellen Weber, MD, University of California, San Francisco Michael Baumann, MD, Maine Medical Center Louis Binder, MD, MetroHealth Medical Center David Cone, MD, Yale University E. John Gallagher, MD, Albert Einstein/Jacobi/Montefiore Lewis Goldfrank, MD, NYU/Bellevue Hospital Center Mark Henry, MD, Stony Brook University Louis Ling, MD, Hennepin County Medical Center Kevin Rodgers, MD, Indiana University Adam Singer, MD, Stony Brook University David Sklar, MD, University of New Mexico Donald Yealy, MD, University of Pittsburgh International Task Force Chair: Kumar Alagappan, MD, Long Island Jewish Medical Center: kalagapp@lij.edu Board Liaison: Robert Schafermeyer, MD, Carolinas Medical Center Philip Anderson, MD, Beth Israel Deaconess Jamil Bayram, MD Juan Gonzalez-Sanchez, MD, Universidad De Puerto Rico *Kirk Hinkley, MD, Wright State University Cecil Holliman, MD, Penn State Geisinger Health System Brian Holroyd, MD, University of Alberta Kenneth Iserson, MD, MBA, University of Arizona Bobby Kapur, MD, MPH, George Washington University Siamak Moayedi, MD, University of Maryland Indrani Sheridan, MD, New York Hospital Jeffrey Smith, MD, George Washington University Tamara Thomas, MD, Loma Linda University Curt Wimmer, MD, St. John Hospital and Medical Center National Affairs Committee Chair: Michael Baumann, MD, Maine Medical Center: baumam@mmc.org Board Liaison: Robert Schafermeyer, MD, Carolinas Medical Center Thomas Arnold, MD, Louisiana State University - Shreveport Michael Bono, MD, Eastern Virginia Medical School Gregory Garra, DO, Albert Einstein/Jacobi/Montefiore *Marc Haber, MD, Baystate Medical Center *Emily Hayden, MD, Indiana University Shkelzen Hoxhaj, MD, Christiana Care Health System Richard Ismach, MD, MPH, Emory University Sheldon Jacobson, MD, Mount Sinai Preeti Jois-Bilovich, MD, University of South Florida Sharhabeel Jwayyed, MD, Akron General Medical Center Dick Kuo, MD, University of Maryland Lawrence Lewis, MD, Washington University Ivette Motola, MD, Brigham and Women's N. Ward Naviaux, MD, University of Colorado *Sanjay Pattani, MD, Louisiana State University - Shreveport David Sklar, MD, University of New Mexico *Vernon Smith, MD, Mayo Clinic Kirk Stiffler, MD, Akron General Program Committee Chair: Debra Houry, MD, MPH, Emory University: dhoury@emory.edu Board Liaison: Katherine Heilpern, MD, Emory University 24

Brigitte Baumann, MD, University of Pennsylvania Andra Blomkalns, MD, University of Cincinnati Betty Chang, MD, Brookdale University Hospital Center Richelle Cooper, MD, MSHS, UCLA / Olive View Elizabeth Datner, MD, University of Pennsylvania M. Christopher Decker, MD, Medical College of Wisconsin Deborah Diercks, MD, University of California, Davis Jeffrey Druck, MD, University of Colorado Robert Gerhardt, MD MPH, San Antonio Uniformed Services Health Education Consortium John "Jack" Kelly, DO, Albert Einstein Medical Center Terry Kowalenko, MD, University of Michigan O. John Ma, MD, Truman Medical Center Craig Newgard, MD, Oregon Health and Science University Manish Patel, MD Susan Promes, MD, Duke University *Maria Raven, MD, New York University Ralph Riviello, MD, Thomas Jefferson University John Southall, MD, Maine Medical Center Michael Turturro, MD, University of Pittsburgh Terry Vanden Hoek, MD, University of Chicago Gary Vilke, MD, University of California, San Francisco Mildred Willy, MD, St. John Hospital and Medical Center Wesley Zeger, DO, Madigan - University of Washington Research Committee Chair: James Olson, PhD, Wright State University: james.olson@wright.edu Board Liaison: Jeffrey Kline, MD, Carolinas Medical Center Subhankar Bandyopadhyay, MD, Medical College of Wisconsin Robert Bilkovski, MD, Henry Ford Hospital William Bond, MD, Lehigh Valley Hospital Richard Bradley, MD, EMT-P, University of Texas-Houston Andrew Chang, MD, Brigham and Women's / Massachusetts General Hospital Jill Corbo, MD, Albert Einstein/Jacobi/Montefiore Eric Dickson, MD, University of Iowa John Duldner, Jr, MD, MS, Akron General Medical Center Venkata Feeser, MD, Medical College of Virginia Hospitals William Fernandez, MD, MPH, Boston Medical Center Robert Gerhardt, MD MPH, San Antonio Uniformed Services Health Education Consortium Gary Green, MD, MPH, Johns Hopkins University Sean Henderson, MD, University of Southern California Amy Kaji, MD, MPH, Harbor-UCLA Medical Center David Karras, MD, Temple University Ari Lipsky, MD, St. Luke's-Roosevelt Hospital Lawrence Melniker, MD, MS, New York Methodist Hospital Peter Panagos, MD, Brown University *Elin Ringstrom, MD, Mount Sinai Richard Rothman, MD, PhD, Johns Hopkins University T. Paul Tran, MD, University of Nebraska Steve Trzeciak, MD, Robert Wood Johnson Medical School at Camden Jim Weber, DO, Hurley Medical Center Scott Wilber, MD, Northeastern Ohio Universities Simulator Task Force Chair: James Gordon, MD, MPA, Massachusetts General Hospital: jgordon3@partners.org Board Liaison: Glenn Hamilton, MD, Wright State University William Bond, MD, Lehigh Valley Hospital Joseph Clinton, MD, Hennepin County Medical Center *Tania Fatovich, MD, Massachusetts General Hospital Rosemarie Fernandez, MD, University of Cincinnati Michael Fitch, MD, PhD, Wake Forest University Richard Lammers, MD, Michigan State University, Kalamazoo *Shawn London, MD, University of Connecticut

Steven McLaughlin, MD, University of New Mexico Benson Munger, PhD, University of Arizona Thomas Nowicki, MD, University of Connecticut Martin Reznek, MD, Emory University Marc Shapiro, MD, Rhode Island Hospital Rebecca Smith-Coggins, MD, Stanford University Linda Spillane, MD, University of Rochester Raymond TenEyck, MD, University of Rochester John Vozenilek, III, MD, Northwestern University Undergraduate Education Committee Chair: Cherri Hobgood, MD, University of North Carolina Chapel Hill: hobgood@med.unc.edu Board Liaison: Glenn Hamilton, MD, Wright State University Michael, Beeson MD, Akron General Louis Binder, MD, MetroHealth Medical Center Michael Bohrn, MD, York Hospital Michael Canter, MD, Albert Einstein/Jacobi/Montefiore Brian Clyne, MD, Brown Medical School Susan Farrell, MD, Brigham and Women's Jonathan Fisher, MD, Beth Israel Deaconess/Harvard Affiliated Marianne Haughey-Barrios, MD, Albert Einstein/Jacobi *Victoria Hogan, MD, University of Alabama at Birmingham Aloysius "Butch" Humbert, MD, MetroHealth Medical Center Elizabeth Jones, MD, University of Texas Houston Sorabh Khandelwal, MD, Ohio State University Michelle Lin, MD, University of California David Manthey, MD, Wake Forest University Steven McLaughlin, MD, University of New Mexico John McManus, Jr, MD, Oregon Health and Science University Moss Mendelson, MD, Eastern Virginia Medical School Andrew Nyce, MD, Cooper Hospital Claudia Ranniger, MD, George Washington University *David Richards, MD, Denver Health Medical Center Robert Rogers, MD, University of Maryland Christopher Russi, DO, University of Iowa John Sarko, MD, Maricopa Medical Center Joel Schofer, MD, University of California, Irvine *Emily Senecal, MD, Brigham and Women's Thomas Swoboda, MD, Louisiana State University, Shreveport Stephen Thomas, MD, Massachusetts General Hospital David Wald, DO, Temple University Michael Walters, MD, University of Wisconsin Ernest Wang, MD, Evanston-Northwestern Healthcare Leslie Zun, MD, Mt. Sinai Hospital Women in Academic Emergency Medicine Task Force Chair: Kathleen Clem, MD, Duke University: clem0002@mc.duke.edu Board Liaison: Leon Haley, Jr, MD, MHSA, Emory University Stephanie Abbuhl, MD, University of Pennsylvania Kerry Broderick, MD, Denver Health Medical Center Rita Cydulka, MD, MS, Case Western Reserve/MetroHealth Gail D'Onofrio, MD, Yale University Michelle Ervin, MD, MHPE, Howard University Cherri Hobgood, MD, University of North Carolina Chapel Hill Benjamin Honigman, MD, University of Colorado Thea James, MD, Boston Medical Center Gloria Kuhn, DO, PhD, Wayne State University Seamus Lonergan, MD Alice Mitchell, MD, Carolinas Medical Center *Lisa Nocera, MD, New York University/Bellevue Sandra Schneider, MD, University of Rochester Latha Stead, MD, Mayo Clinic Mary Jo Wagner, MD, Synergy Medical Education Alliance Susan Watts, PhD, Texas Tech University

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2005 SAEM Medical Student Excellence Award Winners Listed below are the recipients of the 2005 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States to honor an outstanding senior medical student. This is the tenth year this award has been made available. Recipients receive a certificate and one-year membership to SAEM, including subscription to the SAEM Newsletter and Academic Emergency Medicine. Information about next year's Excellence in Emergency Medicine Award will be sent to all medical school dean's offices in February 2006.

Albany Medical College Maria Koenig

Medical College of Georgia Dixie Griffin

Albert Einstein College of Medicine Andrew Chertoff

Medical College of Ohio Paul G. Cornici

Baylor University Andrea Gail Tenner

Medical College of Wisconsin Jamie K. Mullin

Brown University Elizabeth Schoenfeld

Meharry Medical College Sha-Ron Jackson

Case Western Reserve University Joshua Tamayo-Sarver

Memorial University of Newfoundland Sevenja Lahrs

Columbia University College of Physicians & Surgeons Jonathan St. George

Michigan State University Jessica Stacey

Dalhousie University Jan Trojanowski

Midwestern University – Arizona College of Osteopathic Medicine Jesse Shriki

David Geffen School of Medicine @ UCLA Brecken Armstrong

Morehouse School of Medicine Sulieman Wazeerud-Din

Des Moines University - Osteopathic Medical Center Rachael Sokol

Mount Sinai Brian Lin

Drexel University Ruth Lamm Duke University Deepta Atre East Carolina University Sumner Mitchell Eastern Tennessee State University Dorsha Nicole James Eastern Virginia Medical School Tanya G. Rivera-Tyler Emory University Jonathan Leake George Washington University Matthew Marion

New York Medical College Joseph Roarty New York University Dimitrios Papanagnou Northeastern Ohio Universities Lisa Walchalk Northwestern University Colleen Hickey Ohio State University Daniel Zelinski Oregon Health & Science University Casey Jowers Penn State Ross Rodgers

Touro University College of Osteopathic Medicine Cong (Randy) Ly Tulane University Catherine Anne Ambrose UMDNJ - New Jersey Medical School Tina Cocuzza UMDNJ - Robert Wood Johnson Medical School Christopher Gentle University of Alabama @ Birmingham Michael Jesse Bindon University of Alberta Sean Wormsbecker University of Arizona Hans Robert Bradshaw University of Arkansas Rachael Lori Freeze-Ramsey University of Buffalo Beth A. Peterson University of California, Davis Lloyd Connelly University of California, Irvine Benjamin Squire University of California, San Diego Thomas Catron University of California, San Francisco Terrence O’Connor University of Chicago Seth Krupp University of Cincinnati Tricia J. Holden University of Colorado Gina Soriya

Harvard Medical School Eduardo Borquez

Philadelphia College of Osteopathic Medicine Traci S. Anselmo

University of Florida Christopher Robby Shaw

Indiana University Angela B. Fiege

Queen's University Natalie Cousineau

University of Hawaii Arieh Levine

Weill Medical College of Cornell Mastapha Saheed

Rush Medical College Aaron M. Ray

University of Illinois Steve Eder

Johns Hopkins University George Ho

Saint Louis University Andrew Trice Pickens

University of Kentucky Bryan W. Hamon

Kansas City University Gary Sanderson

St. George's University J. Matthew Sasser

University of Louisville Neely E. Green

Keck School of Medicine Leonardo Rodriguez

State University of New York, Stony Brook Taku Taira

University of Manitoba Telisha Smith-Gorvi

Lake Erie College of Osteopathic Medicine Stella N. Kalantzis

State University of New York, Downstate Laurie DuBois

University of Maryland Keri N. Jacobs

Loma Linda University Sam Randolph

State University of New York, Syracuse Monique Mirshak

University of Massachusetts Andrew Monte

Louisiana State University, New Orleans Jeffrey M. Elder

Texas A&M Roberta Jean Dunn

University of Miami Lawrence De Luca

Louisiana State University, Shreveport Paul Christopher Hable

Texas Tech University Marc E. Breen

University of Mississippi Emily Martin

Loyola University Christopher B. Lanoue

Thomas Jefferson University Christian Coletti

University of Missouri-Columbia Kimberly Henley

Mayo Medical School Rose E. Bryan

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University of Missouri-Kansas City Suzanne Meiners University of Nebraska Lori M. Krajicek University of New England College of Osteopathic Medicine Kimberly Morrissette University of North Carolina, Chapel Hill Amy Samara Hurwitz University of North Dakota Natasha L. Srb University of North Texas, Fort Worth Jeremy L. Swain University of Oklahoma Charles Huggins University of Pennsylvania Peter Fishman University of Rochester Aaron Zachary Hettinger University of South Carolina Danielle Elizabeth Davis-Soto University of South Florida Brooke M. Shepard University of Texas, Galveston Jeffrey Lance Jarvis University of Texas, Houston John S. Hellums University of Texas, San Antonio Scott A. Bryson University of Vermont Laura Forman University of Virginia Chris Martin-Gill University of Washington Samantha Hauff University of Wisconsin Timothy Olson Vanderbilt University Sudave Mendiratta Wake Forest University Becca Palmer Wayne State University Masaru H. Oshita West Virginia School of Osteopathic Medicine Hayes Calvert Western University of Health Sciences/College of Osteopathic Medicine of the Pacific Jessica Pierog Wright State University Andrew P. Jacques Yale School of Medicine Carlos Wesley

President’s Message…(continued from page 1) ●

Developed a planned infrastructure for the new web site with established web policies, to include interactive components (e.g. Residency Catalog) and members–only section (non-educational material). ● Conducted the bi-annual faculty salary survey. ● Submitted an application for trademark protection of the SAEM acronym and logo. ● Approved an accounting firm to conduct a formal audit of the organization ● Approved several changes in the structure and function of the Nominating Committee Research ● Awarded 9 grants to individuals and 9 to institutions for a total of $347,000 in grant support ● Published a database of federally funded principal investigator’s in EM ● Conducted a Grantwriting Mentorship Workshop ● Published a 2-part series about educational research ● Published first abstracts issue as a separate supplement to the May 2005 issue of AEM Education ● Saw 6 very successful Regional Meetings with a combined attendance of over 700 people. ● Posted the Medical Student Educators Handbook as a resource to those involved in undergraduate clerkships

●

Offered an on-line Evidence Based Medicine training course ● Published 6 specific Newsletter articles targeting resident member interests ● Approved a re-design of content fields in the Residency Catalog ● Approved a finalized format for the Fellowship catalog ● Approved the MS4 curriculum (a multi-organizational collaboration) ● Sponsored Medical Student Symposium, which attracted 186 medical students. ● Sponsored Chief Resident Forum, which attracted 209 residents.

Advocacy ● Supplied information to the Institute of Medicine Future of Emergency Care Committee (solicited and unsolicited) in the areas of geriatric EM, academic health center EDs, technology integration into practice (chest pain), Translational research (resuscitation), Pediatric EM training, and EM training in medical schools. ● Published “Financing of Emergency Medicine GME Programs in an Era of Declining Medicare Reimbursement and Support” in our Newsletter and AEM ● Developed an advocacy network through our National Affairs Committee ● Published an editorial in CHEST “Missed Opportunity to Address the Critical Care Medicine Crisis” ● Endorsed a white paper prepared by

members of the Critical Care Medicine Task Force that has also been endorsed by the Society for Critical Care Medicine ● Posted materials for the National Alcohol Screening Day on the website ● Published a full professors list on the website ● Sponsored a booth at the Student National Medical Association (SMNA) meeting in March 2005 ● Published an article “Principles for Measuring Quality and Reporting Incidents and Adverse Events” ● Sponsored National Residency Fair, which attracted 97 emergency medicine residency programs.

Our sincere thanks and deep appreciation to all of you who worked on these and other projects on behalf of the Society for the last year. The same appreciation is extended to a large number of volunteers (over 250 once again) who agreed to serve on the new Task Forces and Committees for the coming year. In the next Newsletter, we’ll talk about directions for the 20052006 year!

By the way, Janus was a highly respected deity with many temples dedicated throughout the Roman Empire. January is derived from his name and deference was paid to him at times of planting, harvest, and other important beginnings such as birth and marriage. There is always value in looking back before stepping forward.

Board of Directors Update The SAEM Board of Directors meets monthly, usually by conference call, and meets face-to-face during the SAEM Annual Meeting, the ACEP Scientific Assembly, and the March CORD Academic Assembly. This report includes the highlights from the April 12 Board conference call and the May 21 meeting during the Annual Meeting.

The Board selected Dr. Dave Kramer and Dr. Joe LaMantia to serve as the SAEM representatives to the Model of the Clinical Practice Revision Task Force convened by ABEM. The first meeting of the Task Force was held during the Annual Meeting.

The Board selected Dr. Robert Schafermeyer to serve as the SAEM representative to the AAMC Workforce Conference that was held in early May. Dr. Schafermeyer’s report and a related call for papers has been published in this issue of the Newsletter.

The Board approved the development of a lunch session to be held during the Annual Meeting, which included Dr. Richard Knapp, the Executive Vice President of the AAMC, as the

invited speaker. The Board agreed to invite representatives from AACEM, AAEM, ACEP, and CORD to attend the lunch session.

The Board approved a proposal for the development of a Web Editor and Web Editorial Board. A call for the position of a Web Editor is published in this issue of the Newsletter.

The Board approved a manuscript written by the Undergraduate Education Committee on the topic of the LCME and the EM Rotation. The Board also approved an article on funding sources that was developed by the Undergraduate Education Committee.

The Board approved the proposed recipients of the EMF/SAEM Medical Student Research Grants. The recipients were published in the May/June issue of the Newsletter.

The Board approved the proposal to cosponsor with the AACEM two educational sessions at the AAMC Annual Meeting in November. More information on these educational sessions is published in this issue of the Newsletter.

The Board approved Dr. Judd Hollander's proposal to

(continued on page 30) 27

Geriatric Interest Group Meeting Summary Manish N. Shah, MD, University of Rochester Chair, Geriatric Interest Group The Geriatric Interest Group met during the 2005 SAEM annual meeting in New York City. The featured speaker was R. Sean Morrison, MD. Dr. Morrison is Professor of Palliative Care, Geriatrics, and Medicine, and the Vice-Chair for Research at the Brookdale Department of Geriatrics and Adult Development at the Mount Sinai School of Medicine. He gave a very stimulating talk titled “The Pain Paradox”. In his talk, he first showed that the current poor quality of pain management is a nation healthcare crisis. Specifically, he demonstrated the high prevalence of undertreatment and the negative impact of undertreatment on outcome measures.

Second, he discussed barriers to effective pain management, particularly system, patient, and provider issues. Finally, he explored strategies for effective pain management among older adults. Throughout the talk, he emphasized the areas for pain management research that need to be addressed and methodological issues with pain management research. This talk was extremely well received and resulted in significant discussion.

Dr. Morrison’s talk led the Interest Group to suggest the development of a didactic session for the 2006 Annual Meeting. Dr. Knox Todd suggested a series of talks over the next couple of years regarding pain management and pain management research among older adults. This idea was very well received and a number of individuals volunteered to work with Dr. Todd. Because of the interdisciplinary nature of these topics, collaboration with other Interest Groups (Palliative Care, Pain Management) was suggested.

A number of important announcements were made and discussed.

1. Ula Hwang, MD MPH, from Mt. Sinai School of Medicine was introduced as the Jahnigen Career Development Scholars Award winner from Emergency Medicine for 2005-2007.

2. All interested in Geriatric Emergency Medicine were encouraged to apply for the 2006-2008 award.

3. Discussion occurred regarding the speaker for the 2006 interest group meeting. A number of options were discussed regarding San Francisco area speakers to approach, including Dr. Sean Landefeld and Dr. Steven Pantilat.

4. Dr. Christopher Carpenter introduced an idea of writing articles on the care of the older adult for the Annals of Emergency Medicine Evidence Based Medicine section.

5. The International Interdisciplinary Conference on Emergencies was announced for June 2005.

6. Revisions of the interest group objectives were discussed. Objectives for 2005-2006, which were completed by email discussion, are as follows: -- Develop a didactic session introducing about pain management for the 2006 SAEM annual meeting.

-- Invite a distinguished researcher to speak at the 2006 SAEM annual meeting.

-- Work to develop a series of articles or a textbook on evidence based geriatric emergency medicine.

-- Support the SAEM Geriatric Task Force activities.

Third Mediterranean Emergency Medicine Congress September 2-5, 2005 Nice, France SAEM has been invited to develop a half-day session at the Third Mediterranean Emergency Medicine Congress. Judd Hollander, MD, has developed the session, which will be held on Saturday, September 3, 8:30-12:30 and will be moderated by Charles Cairns, MD. The speakers and topics are as follows: "From Nothing to Something: Beginning Research without Formal Training," Adam Singer, MD "The Importance of Fellowship Training," Charles Cairns, MD "Talking to Your Statistician: Understanding Enough Statistics to Ask the Right Questions," Roger Lewis, MD, PhD "Multicenter Research: Integrating Yourself into a Multi-Year Consortium," Adam Singer, MD "Publication Strategies: Dealing with Rejection or Recycling your Work Based on Advance of Reviewers," Roger Lewis, MD, PhD "The Future of Emergency Medicine Research," Charles Cairns, MD For more information on the Third Mediterranean Emergency Medicine Congress: www.emcongress.org

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AAMC Physician Workforce Research Conference Expanding the Science, Enhancing the Impact Robert W Schafermeyer, MD Carolinas Medical Center SAEM representative to AAMC Workforce Conference SAEM Board of Directors At the AAMC Physician Workforce Research Conference, research and expert opinion provided support to the AAMC position statement that states that there will be a growing shortage of physicians in the United States over the next 10 to 15 years, and believes that there is enough evidence, at hand, to recommend that entry level positions in US medical schools and GME programs be increased modestly at this time. They recognized a need to better understand forces affecting the supply of and requirements for physicians. This position statement is based on multiple factors such as the aging of America’s population, growth of immigrant population, productivity changes over the course of a physician’s career, market forces, economic incentives and disincentives, role of technology, and role of non-physician providers, which affect any projections.

The association recommends that total enrollment in US medical schools should be increased by 15 percent from the 2002 level and the growth should be concentrated in areas of the country where population has grown most rapidly or is projected to grow rapidly. They stated that a change now would not affect the market place for 8 to 10 years. They believe that the residency caps that were put in place should be changed or repealed.

Center for Evaluative Clinical Sciences at Dartmouth used Medicare claims data to evaluate physician practice location and specialty information. They then crosslinked this information with the AMA master file. By using the Medicare information, they can identify how many physicians are clinically active and can do so by specialty. They’re able to make this linkage with the UPIN number and submitted claims. This was one of the few presentations that discussed numbers of emergency physicians in practice. It is known that the AMA database is inaccurate for emergency physicians. This is based on how the specialty information fields are completed. For instance, the AMA master file has almost 21,000 emergency physicians listed, yet ABEM has over 22,000 diplomats and the Medicare claims suggests that there are almost 25,000 emergency physicians, while the ACEP workforce study suggested that the number was around 31,000. Unfortunately, their study did not clarify how many of those are full time or are part time. It also does not identify those who are involved in mostly administration or exclusively in research. The other speakers suggested that state licensing databases may not be accurate since it only tallies those who have a license in the state and many physicians have more than one license, although some states have a more refined license database where they can cull out those who are actively practicing in their state as a separate number from the total number of those with licenses.

The poster presentations focused on multiple topics and one that was done by HRSA looked at different specialties and their projected need in the future. A study, completed by the Lewin Group for HRSA lead to a discussion with Timothy Dall who suggested that there would be a small growth in the number of emergency physicians resulting in a small surplus.

However, it did not take into account the current shortage of board certified emergency physicians and, if there was significant economic health care changes, this growth would not meet the needs for emergency physicians if your goal was to have emergency physicians in the vast majority of emergency departments. He said their study did not look at the impact of continued Medicare reduction and reimbursement and the fact that more physicians are refusing to take new Medicare patients. It also did not fully address the growing elderly population.

Fitzhugh Mullan, MD, presented information regarding the importation of the International Medical Graduates to the English speaking countries. He discussed the role of the recipient and source countries, the factors driving emigration to the United States and the fact that, in certain parts of the US, they relied upon significant numbers of IMGs to provide health care. Dr. Gary Hart, PhD, from the Center for Health Workforce Studies presented additional detail that showed that ten major cities in the US accounted for 71 percent of the IMGs working in the US. In summary the AAMC believes that there will be a need for additional medical schools and/or expansion of medical schools and will probably ask for a change or removal of the cap on GME positions. EM has expanded rapidly over the (continued on next page)

The dimensions of health care and the demand for physicians: Several speakers presented information suggesting that there is a growing consensus of opinion that there will be a shortage of physicians. They believe that the demand for health services is likely to rise sharply in the next decades.

They believe the effective supply of physicians is likely to decrease and that the physician to population ratio will decrease in 2016 just as the Baby Boom generation begins to reach age 70. There are significant lag times to change the physician workforce. It is estimated that a change today will not be felt in the workforce for eight to ten years.

Dr. Buzz Cooper, from the Medical College of Wisconsin, also made a case that, with economic growth in the United States, the aging of our population and the increased technology to provide health care, that there will be a growing demand for health care services and there would be a significant deficit of physician workforce. He estimates that if nothing is changed in current undergraduate and graduate medical education numbers that there will be a deficit of approximately 200,000 physicians by 2025. Other speakers concurred that there would be a growing demand for health services and too few physicians to provide such care (interestingly they also brought up that the nursing shortage will probably persist for many years and may be permanent since a significant portion of the nursing workforce is 50 years of age and older. They also noted there was close to 300,000 foreign born nurses in the US providing nursing care).

There is significant data available in the AMA master file regarding physician workforce, where they track over 881,000 physicians, whether a member or not. The master file does have significant lag time regarding changing number of physicians retired or who have died. David Goodman, MD, from the 29

AAMC Physician Workforce…(continued from previous page) workforce studies are in progress and how they may contribute to or participate in the research efforts.

SAEM, CORD and the academic community will need to decide how they will support and/or react to activities of the AAMC regarding growth in GME residency positions and should work with appropriate agencies that are conducting workforce research, so that the needs and concerns of our patients and emergency physicians are appropriately included in their study methodology.

past ten years. There are now 132 allopathic and 30+ osteopathic programs. There are approximately 1100 graduates per year. The first significant wave of retirements will be just starting over the next three to five years. Prior workforce projections suggested that emergency medicine needed additional trained emergency physicians; however, the last study was completed in 2000 when there were fewer residency programs. Emergency physician academicians could check with their institutions and state licensing board to ascertain what

Call for Physician Workforce Papers Academic Medicine, the Journal of the Association of American Medical Colleges, is now accepting papers on physician workforce research with the goal of identifying 5 to10 articles for publication in early 2006. The number of articles to be published depends on the number and quality of the manuscripts received and approved. A panel, comprised of physician workforce researchers, will review all submissions. The Academic Medicine editorial staff will review finalists selected by the panel. Papers are due by Friday, September 16, 2005.

In order to be considered, submissions must be well written and address an important contemporary issue related to physician workforce issues. In addition to the quality of the submissions, reviewers will be looking to achieve a mix of articles that encompasses a variety of topics and viewpoints.

Manuscripts on a wide range of topics related to the physician workforce, such as those covered at the AAMC Physician Workforce Research Conference are welcome. This includes such diverse topics as: 1. Measuring and forecasting the supply and demand for physicians; 2. Factors impacting on the supply and demand for physicians; 3. Specialty and state specific physician workforce studies; 4. Implications and impacts of the increasing percent of physicians that are women; 5. Practice and retirement patterns for older physicians; 6. Practice patterns of younger physicians; 7. Assessing changes in physician practice patterns over a professional career; 8. Approaches to measuring and increasing physician productivity and efficiency; 9. Strategies and experiences with efforts to address mal-distribution; 10. Implications and impacts of a more diverse physician workforce; 11. The impact of health care organization and financing on the supply, demand and use of physicians; 12. The relationship between physician education, training and specialty on quality of care and outcomes of care;

13. The role of non-physician clinicians; and 14. Approaches to improving physician workforce data collection; While findings from recent quantitative research are encouraged, Academic Medicine will also consider results of qualitative research.

Papers should be submitted to Edward Salsberg, Director, Center for Workforce Studies, at esalsberg@aamc.org.

Please include “Call for Physician Workforce Papers” in the subject line.

Submissions should be double-spaced and include an abstract comprising four paragraphs labeled “Purpose,” “Method,” “Results,” and “Conclusion.”

When submitting your paper, please attach a cover letter that includes the following: ● The title of the paper ● A statement that the paper has not been published and is not under consideration in the same or substantially similar form in any other journal ● A statement that all those listed as authors are qualified for authorship and that all who are qualified to be listed as authors are listed as authors on the byline. ● A statement that, to the author’s knowledge, no conflict of interest, whether financial or otherwise exists.

(If a possible conflict exists, the authors must describe the circumstances.) ● The name and contact information (name, title, full address, email, and telephone number) for the corresponding author.

In addition to this call for papers, Academic Medicine will continue to consider physician workforce papers for publication on an on-going basis as part of its regular review of submissions.

For additional clarification on Academic Medicine submission requirements please visit the Web site, www.academicmedicine.org.

If you have questions about the call for papers, please email or call Mr. Salsberg (202) 828-0415 or esalsberg@aamc.org.

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SAEM Ethics Consultation Service Emergency physicians are faced with countless ethical dilemmas. We make choices based not only on our knowledge but also on our personal beliefs and value systems.

Occasionally, an ethical issue arises that is outside our world view or consideration, or a situation confronts us that makes us uncomfortable. We may lack the knowledge to make a reasonable choice, we may be faced with something totally out of our experience, or we feel at a loss because we cannot determine the possible options. We may witness an ethically questionable act, may observe unprofessional and possibly harmful actions, may disagree about the correctness of another’s decision, or may feel we ourselves are being subjected to exploitation, abuse, or other unethical behavior. Such situations are frightening; it is difficult to distinguish reality from perception, to

know who can be approached for advice, or where resources can be found to assist in developing an appropriate response.

Some institutions have committees or other authoritative bodies designed to examine grievances, allegations of scientific misconduct or specific ethical dilemmas in clinical practice. The advice of these groups, however, may have limited applicability to emergency medicine; they may not include emergency physicians, or have the expertise to relate to the unique aspects of the ethics of emergency medicine. In addition, these groups are charged with developing a response to a particular crisis that has arisen locally. They are goal directed and not necessarily able to provide a thoughtful method to educate beyond the concrete response to the problem at hand.

For these reasons, SAEM has devel-

oped an Ethics Consultation Service to assist SAEM members with questions concerning ethical issues or decisions they must make during the course of their clinical, academic or administrative responsibilities. Opinions from the Ethics Consultation Service will be offered to SAEM members in a timely manner; requests from nonmembers will be considered on a case by case basis. The opinions rendered are not meant to be part of an ‘appeal process.’

All communications will be anonymous and confidential. However, because many ethical issues confronting emergency physicians are universal in their scope, and others may learn from the issue presented, we hope to develop a series of articles for publication, assuming that confidentiality can be maintained. All requests, inquiries, or correspondence should be directed to saem@saem.org.

SAEM Consulting Service Glenn C. Hamilton, MD Wright State University Chair, SAEM Consulting Service The SAEM Consulting Service is well prepared to offer its considerable capabilities to interested parties in our specialty.

Although a variety of services are available, our primary expertise is in the following:

5. Faculty Development: EM remains one of the few specialties that requires faculty development as part of its program requirements. Programs that are initiating or having difficulty in this area may request a faculty development consultation to assist in planning effective program for their faculty.

1. Establishment of an EM residency: This consult is in advance of application to the ACGME and RRC-EM for consideration of a new EM residency. The consultation will assess the suitability and potential of the site for residency training and assist in the development of the program information forms required by the ACGME. 2. “Mock” survey prior to RRC-EM site survey: this service serves as a preparatory guide for new programs or as a “dress rehearsal” for re-accrediting residencies preparing for their official site survey by the RRC-EM. This is a useful process for making sure the issues of potential concern by the RRC-EM are addressed, and convincing institutional administration of the benefits of EM and its continued support.

3. Program Information Form (PIF) Review: This new service is a detailed review of the PIF for new or re-accrediting programs in advance of submission to the RRC-EM. 4. Research Consultation: This relatively new aspect of the service helps programs develop a research program suitable to their environment.

Consultations are done by experienced individuals who are program directors, academic chairs, and/or those who have served as RRC-EM site surveyors. Usually one or two individuals participate in the site visit consultation depending upon the needs of the institution. The individuals are selected with input from the institution and the consult service.

Fees are $1,250 per individual per day plus expenses. An additional $500 is paid to SAEM to support the administrative aspects of the Service. PIF reviews are $750.

The SAEM Consulting Service has played a significant role in sustaining the quality of many EM residencies and assisting numerous program directors in developing and creating solutions to their problems. We look forward to assisting interested institutions in addressing their resident program or academic development needs. Please contact me directly at glenn.hamilton@wright.edu (937-395-8839) or through SAEM saem@saem.org for further information and assistance.

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FACULTY POSITIONS NEBRASKA: The University of Nebraska Medical Center, Section of Emergency Medicine is recruiting 1-2 additional faculty members committed to developing an academic career. Adequate protected time is provided and start-up funding is available. Preference is given to individuals with fellowship training or research experience. With an accredited residency which began in July 2004, this is a great opportunity to help shape the future of emergency medicine in this region. Candidates who have toxicology training will also have the opportunity to work with the Nebraska Regional Poison Center. The new Center for Clinical Excellence, which will house the Emergency Department and provide services for 45,000 annual visits, will open in November 2005. Respond in confidence to: Robert Muelleman, M.D., Professor, Chief of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE 68198-1150. (402-559-6705) The University of Nebraska is an affirmative action/equal opportunity employer. Minorities and women are encouraged to apply.

OHIO: The Ohio State University - Assistant/Associate or Full Professor.

Established residency training program. Level 1 Trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Send curriculum vitae to: Douglas A. Rund, MD, Professor and Chairman, Department of Emergency Medicine, The Ohio State University, 146 Means Hall, 1654 Upham Drive, Columbus, OH 43210, email Dailey.1@osu.edu, or call (614) 293-8176. Affirmative Action/Equal Opportunity Employer.

PENNSLYVANIA: Seeking two additional EM Residency-trained physicians to join 38 BC physicians and 11 PAs evaluating close to 110,000 patients at the three sites of 750-bed Lehigh Valley Hospital (LVH). Ultrasound certification a plus. Collegial group with a good mix of experience, and extraordinary physician retention rate. Great opportunity for advancement. Employed by Lehigh Valley Physician Group, the multi-specialty physician practice of LVH. Electronic medical records, physician order entry, documentation and PACs system. Academic, tertiary hospital with Level I trauma, 9-bed Burn Center, 13 freestanding, fully-accredited training programs, including one in Emergency Medicine. Eligibility for faculty appointment at Penn State/Hershey. Competitive salary and fabulous benefits! LVH located in the beautiful Lehigh Valley, with 700,000 people, excellent suburban public schools, safe neighborhoods, moderate cost of living, one hour north of Philadelphia and one-and-one-half hours west of Manhattan. Email CV to carol.voorhees@lvh.com. Phone (610) 4027008.

PITTSBURGH: University of Pittsburgh: Full-time emergency medicine faculty non tenure and tenure positions are available at the Instructor through Professor levels. Candidates must be residency trained and board certified/prepared in emergency medicine. We offer career opportunities as a clinician-investigator or clinician-teacher. Our faculty have local, national and international recognition in research, teaching and clinical care. The ED serves a primarily adult population with a volume of approximately 50,000 per year, and is a Level I trauma center with both toxicology and hyperbaric medicine treatment programs housed within our Department. Salary is commensurate with experience. For further information write to: Donald M. Yealy, MD, Vice Chair, Department of Emergency Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213. The University of Pittsburgh is an Affirmative Action, Equal Opportunity Employer.

UMDNJ

I

UMDNJ-The University of Medicine and Dentistry of New Jersey New Jersey Medical School and the University Hospital – Department of Surgery - Division of Emergency Medicine is conducting a search for Chief of Emergency Medicine.

Candidates must be ABEM certified, have national visibility and evidence of strong clinical and academic experience, a minimum of five years of previous administrative experience and a strong interest in teaching as well as a commitment to public medicine. The candidate will be offered an academic appointment at the level of Associate Professor or Professor. A competitive salary and fringe benefits package are offered.

UMDNJ is a 504-bed, Level 1 trauma center, with over 83,000 annual visits. In July 2005, we will matriculate our inaugural class of a newly accredited 1-4 Emergency Medicine Residency, approved for 8 residents per year.

Future SAEM Annual Meetings 2006

May 18-21 San Francisco Marriott, CA

2007

May 16-19 Sheraton Hotel, Chicago, IL

2008

May 29-June 1 Marriott Wardman Park Hotel, Washington DC

2009

May 14-17 Sheraton New Orleans, New Orleans, LA

Chief of Emergency Medicine

Please send a Curriculum Vitae and contact information for three professional references to: Hosseinali Shahidi, M.D., Acting-Chief of Emergency Medicine, UMDNJ - NJMS, 150 Bergen Street, M219, Newark, NJ 07103. Phone: (973) 972-5129, Fax: (973) 972-6646 or Email: shahidho@umdnj.edu. UMDNJ is an equal opportunity and affirmative action employer.

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CHIEF PEDIATRIC EMERGENCY MEDICINE The Department of Pediatrics at Women’s & Children’s Hospital in Buffalo, NY, seeks a Chief of Pediatric Emergency Medicine who can lead a strong pediatric emergency medicine program in areas of clinical medicine, medical education and research. This position will lead both the Pediatric Emergency Medicine Division and the Hospital’s Emergency Medicine Department. The Hospital is a private, not for profit , 313 bed full service pediatric and women’s hospital (majority of beds are pediatric with about 60 designated for women) and is a Level I regional, pediatric trauma center. The Emergency Department has 30 beds and had 42,000 visits in 2003. The Division has 12 full time faculty, and an ACGME fellowship program. Qualifications: MD, BC in Pediatric Emergency Medicine, demonstrated track record in leading and managing, committed to teaching and research. For additional information, contact: Diane Alston (602)234-3890 dalston@FaheyAssociates.com

DEPARTMENT OF EMERGENCY MEDICINE EMS FELLOWSHIP The University of Cincinnati seeks candidates for a one- or twoyear fellowship in Emergency Medical Services. The fellowship provides an educational format to acquire the foundation of skills and knowledge required to become a specialist in prehospital emergency medicine. Fellowship training will enable the physician to proficiently conduct all aspects of EMS system medical direction, including treatment of clinical problems, management of the EMS system as a community health resource, education of the public and EMS system personnel, supervision of EMS personnel delivering medical care, and medical leadership. The EMS experience is obtained through medical direction of the Cincinnati Fire Department and participation in the divisions of the Emergency Medicine Special Operations Institute. Fellows will also be proficient at the entry level in clinical research.

Clinical experience is derived from an adult emergency room which is the regional level I trauma center with more than 90,000 visits annually and the second busiest pediatric emergency department in the country (83,000 annual visits). Candidates should have completed residency training in emergency medicine, and must be eligible for Board Certification by ABEM. Interested candidates should submit letter of interest and CV to Donald Locasto, MD, Director, EMS Fellowship, University of Cincinnati, Department of Emergency Medicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513) 558-5281; email donald.locasto@uc.edu. For additional information go to the EMS website at http://www.ucemergency medicine.org/prehospital.asp

The Department of Emergency Medicine offers fellowships in the following areas: • Toxicology • Emergency Medical Services • Research • Education Enrollment in the Graduate School is a part of all fellowships with the aim of obtaining a Master’s Degree.

In addition, intensive training and interaction with the nationally-known faculty of the Department of Emergency Medicine, with experts in each domain, is an integral part of the fellowship experience.

Appointment as an Instructor is offered and fellows assume limited clinical responsibilities in the Emergency Department at the University of Pittsburgh Medical Center and affiliated institutions. Each fellowship offers the experience in basic and/or human research and teaching opportunities with medical students, residents and other health care providers. The University of Pittsburgh is an Equal Opportunity Employer, and will welcome candidates from diverse backgrounds. Each applicant should have an MD/DO background or equivalent degree and be board certified or prepared in emergency medicine (or have similar experience). Please contact Donald M. Yealy, MD, University of Pittsburgh, Department of Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, PA 15213 to receive information.

DEPARTMENT OF EMERGENCY MEDICINE TOXICOLOGY FELLOWSHIP The University of Cincinnati seeks candidates for a two-year fellowship in medical toxicology consisting of inpatient and outpatient clinical consultation, environmental and occupational toxicology, regional poison center experience, laboratory and clinical research and experience in hyperbaric medicine. Three medical toxicologists serve as faculty. Clinical experience is derived from an adult emergency room which is the regional level I trauma center with more than 90,000 visits annually and the second busiest pediatric emergency department in the country (83,000 annual visits). NIOSH and EPA have headquarters in Cincinnati and a NIOSH medical toxicologist is involved in training the fellow. The fellow takes call for the poison center, conducts inpatient and outpatient toxicologic consultations, and learns to use hyperbaric medicine for carbon monoxide poisoning and other indications for which it is used. The option exists to obtain additional training in occupational medicine leading to Board eligibility. Candidates should have completed residency training in emergency medicine, pediatrics, internal medicine, or occupational medicine, and must be eligible for Board Certification in one of these specialties. Submit letter of interest and CV to Curtis P. Snook, MD, Director, Toxicology Fellowship, University of Cincinnati, Department of Emergency Medicine, PO Box 670769, Cincinnati OH 45267-0769; phone (513) 558-5281; email snookcp@ucmail.uc.edu.

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The SAEM Newsletter is mailed every other month to approximately 6000 SAEM members. Advertising is limited to fellowship and academic faculty positions. The deadline for the September/October issue is August 1, 2005. All ads are posted on the SAEM website at no additional charge.

Advertising Rates: Classified ad (100 words or less) Contact in ad is SAEM member $100 Contact in ad non-SAEM member $125 Quarter page ad (camera ready) 3.5" wide x 4.75" high $300 To place an advertisement, email the ad, along with contact person for future correspondence, telephone and fax numbers, billing address, ad size and Newsletter issues in which the ad is to appear to: Elizabeth Webb at elizabeth@saem.org

Section of Emergency Medicine Yale University School of Medicine Associate Section Chief The Section of Emergency Medicine at Yale University School of Medicine is seeking to fill the position of Associate Section Chief at the Associate Professor level. The candidate should be an experienced clinician with demonstrated excellence in administrative and interpersonal skills. In conjunction with the Chief, he/she will assist with the overall mission of the Section, to excel in clinical practice, education, and research.

Responsibilities will include oversight and direction of clinical operations, in conjunction with the Medical Director of the Emergency Department, specifically the development and monitoring of quality measures.

Candidates must be board certified in Emergency Medicine, obtain licensure in Connecticut, have a minimum of 7 years of experience with significant administrative responsibility within a Section or Department of Emergency Medicine in an academic setting. The successful candidate will also have significant administrative experience, as well as demonstrated leadership skills and a strong commitment to medical education and clinical excellence.

Yale New Haven Hospital is the primary practice site. It is a level I trauma center with approximately 70,000 adult ED visits per year. In addition, a satellite ED on the Connecticut shoreline with an annual census of approximately 10,000 adult and pediatric patients per year.

Rank and salary will be commensurate with education, training and experience. For more information, contact Dr. Gail D’Onofrio at (203) 785-4404 or gail.donofrio@yale.edu. To apply, please forward your CV and cover letter via fax at (203) 785-4480, email jamie.petrone@yale.edu, or mail at Yale University School of Medicine, Department of Surgery, Section of Emergency Medicine, 464 Congress Ave, P.O. Box 208062, New Haven, CT 06519-1315.

Yale University is an affirmative action, equal opportunity employer and women and members of minority groups are encouraged to apply.

Membership Counts 6-21-05 Active – 2506 Associate – 262 Emeritus – 21 Fellow – 115 Medical Student – 555 Resident – 2722

Board of Directors Update… (continued from page 27)

The University of Texas Medical Branch at Galveston

develop a four-hour track at the AAEM Conference in Nice, France in early September. More information on the SAEM session at the conference is pubilshed in this issue of the Newsletter.

The Board approved the 2005 Midwestern Regional Meeting. A call for abstracts for the conference is published in this issue of the Newsletter. The Board also approved a meeting of the current and incoming regional meeting coordinators during the SAEM Annual Meeting.

The Board approved a Membership Survey that was distributed to the attendees of the Annual Meeting, and will also be disseminated to the membership electronically. Lastly, a copy of the Membership Survey and a return envelope is published in this issue of the Newsletter, in order to provide as many opportunities as possible for the membership to participate.

The Board approved a request from the Geriatric Interest Group to provide a $150 honorarium for the non-member guest speaker at the Geriatric Interest Group meeting in New York. The Board approved a request to provide reduced registration fees to international attendees of the Annual Meeting.

The next face-to-face Board meeting will be held on Monday, September 26 from 8:00 am until 5:00 pm in Washington, DC during the ACEP Scientific Assembly. All members are invited to attend this, and all meetings of the Board.

Faculty Position, Emergency Medicine The University of Texas Medical Branch (UTMB) is a worldrenowned complex, home to Texas’ oldest medical school.

Located 50 miles southeast of Houston on Galveston Island, UTMB is a health care system that offers patients from the state, nation and world a comprehensive approach to quality care. Services range from primary care to the specialized diagnostic and treatment resources found only at the nation’s largest teaching, research, and clinical care centers.

The University of Texas Medical Branch is seeking a full time Emergency Medicine Faculty Physician who is BE/BC in Emergency Medicine. This position offers opportunities for clinical care, teaching of housestaff and students, and research in an academic medical center.

The Emergency Department has approximately 78,000 visits per year and is a certified Level 1 Trauma Center. Radiology and Clinical Laboratory provide dedicated and continuous support to this area. UTMB serves as the lead trauma facility for a ten-county region of southeast Texas. Two helipads are located adjacent to the Emergency Room to accommodate air ambulance and off shore vehicles, including the U.S. Coast Guard. The Emergency Department also has an active telemedicine program.

Please submit your resume to: Brian Zachariah, MD, MBA, FACEP, bszachar@utmb.edu,Medical Director - Division of Emergency Medicine, 301 University Boulevard, Galveston, TX 77555-1173, 409-772-1425, www.utmb.edu/er UTMB is an equal opportunity affirmative action employer m/f/d/v.

Women, minorities, veterans and individuals with disabilities are encouraged to apply.

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S A E M

Call for Abstracts 2006 Annual Meeting May 18-21 San Francisco, CA Deadline: Tuesday, January 10, 2006

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2006 SAEM Annual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine including, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guidelines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, education/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit, ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, research design/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmental injury, trauma, and wounds/burns/orthopedics.

The deadline for submission of abstracts is Tuesday, January 10, 2006 at 5:00 pm Eastern Time and will be strictly enforced. Only electronic submissions via the SAEM online abstract submission form will be accepted. The abstract submission form and instructions will be available on the SAEM website at www.saem.org in November. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

Only reports of original research may be submitted. The data must not have been published in manuscript or abstract form or presented at a national medical scientific meeting prior to the 2006 SAEM Annual Meeting. Original abstracts presented at national meetings in April or May 2006 will be considered.

Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine, the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors to submit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 days of receipt of a manuscript.

S A E M

Call for Submissions Innovations in Emergency Medicine Education Exhibits Deadline: Wednesday, February 16, 2006

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration of presentation at the 2006 SAEM Annual Meeting, May 18-21, 2006 in San Francisco, CA. Submitters are invited to complete an application describing an innovative new educational methodology that they have designed, or an innovative educational application of an existing product. The exhibit should not be used to display a commercial product that is already available and being used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teaching setting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will be published in a summer 2006 issue of Academic Emergency Medicine, as well as in the Annual Meeting on-site program. However, if submitters have conducted a research project on or using the innovation, the project may be written up as a scientific abstract and submitted for scientific review in the appropriate subject category by the February 16 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, Feburary 16, 2006 at 5:00 pm Eastern Daylight Time. Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further information or questions, contact SAEM at saem@saem.org or 517-485-5484 or via fax at 517-485-0801.

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S A E M

Newsletter of the Society for Academic Emergency Medicine

Board of Directors Glenn Hamilton, MD President Jim Hoekstra, MD President-Elect Katherine Heilpern, MD Secretary-Treasurer Carey Chisholm, MD Past President Jill Baren, MD Leon Haley, Jr, MD, MHSA Jeffrey Kline, MD Catherine Marco, MD Robert Schafermeyer, MD Lance Scott, MD Ellen Weber, MD

Society for Academic Emergency Medicine 901 N. Washington Avenue Lansing, MI 48906-5137

PRESORTED STANDARD U.S. POSTAGE PAID GRAND RAPIDS MI PERMIT # 1

Editor David Cone, MD David.Cone@yale.edu Executive Director/Managing Editor Mary Ann Schropp saem@saem.org Advertising Coordinator Elizabeth Webb elizabeth@saem.org

“to improve patient care by advancing research and education in emergency medicine”

The SAEM newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM.

S A E M

Call for Didactic Proposals 2006 Annual Meeting May 18-21 San Francisco, CA Deadline: Thursday, September 9, 2005

The Program Committee is inviting proposals for didactic sessions for the 2006 Annual Meeting. This year the Program Committee would like to emphasize proposals on educational research methodology and leadership development (including advancement within academic departments, medical schools and national organizations). Didactic proposals may be aimed at medical students, residents, junior faculty and/or senior faculty. The format may be a lecture, panel discussion, or workshop. The Program Committee will also consider proposals for pre- or post-day workshops or multiple sessions during the Annual Meeting aimed at in-depth instruction in a specific discipline.

Didactic proposals must support the mission of SAEM (to improve patient care by advancing research and education in emergency medicine) and should fall into one of the following categories: • Education (educational research methodology, education methodology, improving the quality of education, enhancing teaching skills) • Research (research methodology, improving the quality of research) • Career Development • State-of-the-Art (presentation of cutting-edge basic science or clinical research that has important implications for further investigation or the future practice of emergency medicine, not a review of the literature or a summary of clinical practice) • Health Care Policy and National Affairs The deadline for submission is Thursday, September 9, 2005 at 5:00 pm Eastern Daylight Time. Only online submissions will be accepted. To submit a proposal, complete the online Didactic Submission Form at www.saem.org.

For additional questions or information, contact SAEM at saem@saem.org or call 517-485-5484 or send a fax to 517-485-0801.